MR. KEVIN T. LIE MD NPI 1659570455

NPI Information

NPI: 1659570455
Provider Name: MR. KEVIN T. LIE, MD
Classification: Radiology - 2085R0204X
Entity Type: Individual

Specialization: Vascular & Interventional Radiology

PECOS Registration: Yes

Address:
1348 WALTON WAY STE 5700
AUGUSTA, GA
ZIP 30901
Phone: (706) 774-7022
Get Directions

MR. Kevin T. Lie, MD is a vascular and interventional radiology radiology in Augusta, GA with 23 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. MR. Kevin T. Lie, MD NPI is 1659570455. 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:

1348 WALTON WAY STE 5700
AUGUSTA, GA
ZIP 30901-110
Phone: (706) 774-7022
Fax: (706) 774-7023

The NPI 1659570455 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 7/12/2007 and was last updated on 4/20/2023.

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	207UN0902X	Nuclear Medicine	Nuclear Imaging & Therapy	35090995	OHIO	No
2	207UN0901X	Nuclear Medicine	Nuclear Cardiology	35090995	OHIO	No
3	207UN0903X	Nuclear Medicine	In Vivo & In Vitro Nuclear Medicine	35090995	OHIO	No
4	2085B0100X	Radiology	Body Imaging	35090995	OHIO	No
5	2085D0003X	Radiology	Diagnostic Neuroimaging	35090995	OHIO	No
6	2085H0002X	Radiology	Hospice and Palliative Medicine	35090995	OHIO	No
7	2085N0700X	Radiology	Neuroradiology	35090995	OHIO	No
8	2085N0904X	Radiology	Nuclear Radiology	35090995	OHIO	No
9	2085P0229X	Radiology	Pediatric Radiology	35090995	OHIO	No
10	2085R0001X	Radiology	Radiation Oncology	35090995	OHIO	No
11	2085R0202X	Radiology	Diagnostic Radiology	35090995	OHIO	No
12	2085R0203X	Radiology	Therapeutic Radiology	35090995	OHIO	No
13	2085R0204X	Radiology	Vascular & Interventional Radiology	35090995	OHIO	No
14	2085R0204X	Radiology	Vascular & Interventional Radiology	81456	GEORGIA	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	Other Provider Identifier Issuer
1	1025726440001	MEDICAID	PENNSYLVANIA
2	465114	OTHER	OHIO	WELLCARE
3	204881619259	OTHER	OHIO	CARESOURCE
4	P00648554	OTHER	OHIO	RAILROAD MEDICARE
5	2788381	MEDICAID	OHIO

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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