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Individual

DR. KENNETH H LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
115 PARK ST SE, SUITE 300, VIENNA, VA 22180-4653
(703) 255-9100
(703) 255-3457
Mailing address
115 PARK ST SE, SUITE 300, VIENNA, VA 22180-4653
(703) 255-9100
(703) 255-8457

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101052450
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05859204
VA
Enumeration date
09/06/2005
Last updated
08/28/2025
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