MR. KIL SOO LEE MD NPI 1518006071

NPI Information

NPI: 1518006071
Provider Name: MR. KIL SOO LEE, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
11133 DUNN RD
SAINT LOUIS, MO
ZIP 63136
Phone: (314) 653-4300
Get Directions

MR. Kil Soo Lee, MD is a diagnostic radiology radiology in Saint Louis, MO. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MR. Kil Soo Lee, MD NPI is 1518006071. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11133 DUNN RD
SAINT LOUIS, MO
ZIP 63136-119
Phone: (314) 653-4300
Fax: (314) 821-5600

The enumeration date for this NPI number is 2/5/2007 and was last updated on 10/6/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	036-060174	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	A27743	MEDICARE UPIN	MISSOURI
2	200610103	MEDICAID	MISSOURI
3	L40193	MEDICARE PIN	ILLINOIS
4	013012444	MEDICARE PIN	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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