Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. KYOUNG KELLY LEE NP
NPI 1790765139
Nurse Practitioner - Obstetrics & Gynecology in Portage, MI

Q: What is Kyoung Lee's NPI number?

The NPI number for Kyoung Lee is 1790765139. It was assigned to this individual provider in the NPPES registry on January 20, 2006. The provider is also known as Kyoung-Eun Kelly Lee.

Q: What is Kyoung Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Q: When was this NPI record last updated?

The NPPES record for Kyoung Lee was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 20, 2006

3300 WEST CENTRE AVE, BRONSON OB/GYN ASSOCIATES, PORTAGE, MI 49024(269) 327-2211(269) 327-0273 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Ms. Kyoung Kelly Lee Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KYOUNG KELLY LEE NP (NPI 1790765139) is an individual obstetrics & gynecology provider in Portage, Michigan, licensed in Michigan (4704247830) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1790765139

Entity TypeIndividualFemale

Primary Taxonomy363LX0001X

Provider Legal NameMS. KYOUNG KELLY LEECredential: NP

Location Address3300 WEST CENTRE AVE, BRONSON OB/GYN ASSOCIATESPortage, MI 49024

Mailing AddressPo Box 42, 601 John StreetKalamazoo, MI 49007 · (269) 341-7806 · Fax (269) 341-8743

Phone(269) 327-2211

Fax(269) 327-0273

Sole ProprietorNo

Enumeration DateJanuary 20, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1790765139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LX0001X

License✔ Licensed in MI · 4704247830

3300 WEST CENTRE AVE, Portage, MI 49024

Open in Google Maps ↗

Other Names 1

Former Name (1)Kyoung-eun Kelly Lee

Other Identifiers 1

Medicaid4770217MI

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyoung Lee's NPI number?

The NPI number for Kyoung Lee is 1790765139. It was assigned to this individual provider in the NPPES registry on January 20, 2006. The provider is also known as Kyoung-Eun Kelly Lee.

Where is Kyoung Lee located?

Kyoung Lee practices at 3300 West Centre Ave Bronson Ob/Gyn Associates, Portage, MI 49024. The listed phone number is (269) 327-2211.

What is Kyoung Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

When was this NPI record last updated?

The NPPES record for Kyoung Lee was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.