Individual
KAMTHORN S LEE
Active
Individual
KAMTHORN S LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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