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KANG K. LEE M.D. NPI 1871530840


NPI Information

NPI: 1871530840
Provider Name: KANG K. LEE, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
90 JACKSON PIKE
GALLIPOLIS, OH
ZIP 45631
Phone: (749) 446-5371
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Kang K. Lee, M.D. is a pediatrics in Gallipolis, OH. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Kang K. Lee, M.D. NPI is 1871530840. 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:

90 JACKSON PIKE
GALLIPOLIS, OH
ZIP 45631-560
Phone: (749) 446-5371
Fax: (740) 446-5711

The enumeration date for this NPI number is 5/31/2006 and was last updated on 2/21/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics18084WEST VIRGINIANo
2208000000XPediatrics35-04-5728OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1LE0710767MEDICARE PINOHIO
20109417000MEDICAIDWEST VIRGINIA
3370008780OTHERRR MEDICARE
40710766MEDICARE PINWEST VIRGINIA
5000000007615OTHERANTHEM BCBS
6000000181980OTHEROHIOUNISON MEDICAID
7D62017MEDICARE UPIN
80431894MEDICAIDOHIO
9001714077OTHERMOUNTAIN STATE BCBS
10310917085036OTHEROHIOOH MEDICAID CARESOURCE
110431894OTHEROHIOMOLINA MEDICAID

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

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