Individual
KAMTHORN S LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8333 NAAB RD, STE. 400, INDIANAPOLIS, IN 46260-5924
(317) 338-6666
(317) 338-6066
Mailing address
8333 NAAB RD, STE. 400, INDIANAPOLIS, IN 46260-5924
(317) 338-6666
(317) 338-6066
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01042692A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
01042692A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060065123
RRMC - CARDIOVASCULAR DIAGNOSTIC SERVICES
IN
05
—
100467890
—
IN
Enumeration date
03/14/2006
Last updated
12/14/2010
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