Individual
DR. KENNETH ADAM LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1240 S OLD DIXIE HWY, JUPITER, FL 33458-7205
(561) 263-4400
Mailing address
PO BOX 9218, JUPITER, FL 33468-9218
(561) 748-2889
(561) 748-1523
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
25MA08616300
NJ
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME104831
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002
BCBS
—
01
—
2139008
MAMSI
—
01
—
250653
KAISER
—
01
—
3835654
AETNA HMO
—
05
—
407954000
—
MD
01
—
607156001
FEDERAL WORKMANS COMP
—
01
—
64563901
BCBS
—
01
—
7880154
AETNA PPO
—
Enumeration date
07/15/2005
Last updated
09/15/2011
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