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

Kyusun Lee

Individual provider Gerontology Nurse Practitioner · NPI 1174477434

Kyusun Lee is a Nurse Practitioner in Chattanooga, Tennessee. Qualified in 2025, 1 year ago. Accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
1
Licensed in
TN
In the registry since
2026
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Practice location Address checks out

1751 Gunbarrel Rd
Chattanooga, TN 37421-7177
Phone: (423) 778-4830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 40733 (TN)

Record details

NPI number1174477434
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 24, 2026
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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