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Organization

KENNETH W LEE & ASSOCIATES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNETH W LEE MD (PRESIDENT)
(909) 517-3501
Entity
Organization

Contact information

Practice address
160 E ARTESIA ST, SUITE 140, POMONA, CA 91767-2900
(909) 622-3800
(909) 622-2600
Mailing address
PO BOX 1306, UPLAND, CA 91785-1306
(909) 622-3800
(909) 622-2600

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A79488
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A694880
CA
Enumeration date
03/09/2011
Last updated
11/15/2011
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