JAE KYU LEE M.D. NPI 1902894694

NPI Information

  • NPI: 1902894694
  • Provider Name: JAE KYU LEE, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 1320 COACHMAN CT
    ASHLAND, OH
    ZIP 44805
  • Phone: (419) 289-1151

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NPI Details

Jae Kyu Lee, M.D. is a specialist in Ashland, OH. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Jae Kyu Lee, M.D. NPI is 1902894694. 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:

1320 COACHMAN CT
ASHLAND, OH
ZIP 44805-443
Phone: (419) 289-1151
Fax: (419) 281-8767

The enumeration date for this NPI number is 10/7/2005 and was last updated on 7/8/2007.

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
1174400000XSpecialist35037115OHIOYes

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
1E30106MEDICARE UPINOHIO
20638812MEDICARE ID-TYPE UNSPECIFIEDOHIO
30441258MEDICAIDOHIO

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: 11/21/2025

NPI Synchronization or Removal

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