Individual
DR. KEVIN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 972-4076
Mailing address
626 CHAMBERS ST, ROYAL OAK, MI 48067-1902
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M-2181
GU
207PS0010X
Sports Medicine (Emergency Medicine) Physician
4301104068
MI
Other
Enumeration date
08/17/2009
Last updated
10/10/2019
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