DR. KANG SUN LEE M.D. NPI 1124000823

NPI Information

NPI: 1124000823
Provider Name: DR. KANG SUN LEE, M.D.
Classification: Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
8154 MARSEILLE DR
CORPUS CHRISTI, TX
ZIP 78414
Phone: (361) 980-1964
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DR. Kang Sun Lee, M.D. is a neuromusculoskeletal medicine sports medicine in Corpus Christi, TX. The provider is definition to come. DR. Kang Sun Lee, M.D. NPI is 1124000823. 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:

8154 MARSEILLE DR
CORPUS CHRISTI, TX
ZIP 78414-053
Phone: (361) 980-1964
Fax: (361) 980-1964

The NPI 1124000823 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/17/2005 and was last updated on 6/9/2011.

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	204C00000X	Neuromusculoskeletal Medicine, Sports Medicine		K6088	TEXAS	Yes

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: 11/14/2023

NPI Synchronization or Removal

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