Individual
DR. KENNETH ROBERT LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 FRANCIS STREET ARMORY 3, BRIGHAM AND WOMENS HOSPITAL, DEPARTMENT OF PATHOLOGY, BOSTON, MA 02115
(617) 732-4715
Mailing address
111 CYPRESS ST, BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION, BROOKLINE, MA 02445
(617) 582-1200
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
79108
MA
207ZP0101X
Anatomic Pathology Physician
Primary
79108
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3121208
—
MA
Enumeration date
10/17/2005
Last updated
12/19/2014
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