Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katherine Suzanne Lee, MD

Individual provider Family Medicine Physician · NPI 1104356757

Katherine Suzanne Lee, MD is a Family Medicine Physician in Independence, Missouri. Practices as a sole proprietor. Licensed in Michigan and Missouri.

Licensed in
MI, MO
In the registry since
2017
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12400 E US Highway 40
Independence, MO 64055-5929
Phone: (816) 890-9507
Fax: (816) 890-9516
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2020033778 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 4301112969 (MI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 4351034526 (MI)

Record details

NPI number1104356757
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 15, 2017
Last updated in NPPESOctober 13, 2023
Certification dateOctober 13, 2023
Mailing address13851 W 63rd St # 203, Shawnee, KS 66216-3800

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