Individual
DR. MAJOR KENNETH LEE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST.,, 4 SILVERSTEIN, PHILADELPHIA, PA 19104
(215) 662-2626
(314) 222-6255
Mailing address
3400 SPRUCE ST.,, 4 SILVERSTEIN, PHILADELPHIA, PA 19104
(215) 662-2626
(314) 222-6255
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD437590
PA
Other
Enumeration date
01/04/2007
Last updated
06/11/2014
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