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Individual

KYUNG CHUL LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M. D.,

Contact information

Practice address
67 VALLEY RD, MIDDLETOWN, RI 02842-7218
(401) 847-4950
(401) 847-5767
Mailing address
292 MOUNT HOPE RD, SOMERSET, MA 02726-3639
(508) 673-1799
(401) 847-5767

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5246
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3051927
MA
Enumeration date
09/22/2006
Last updated
07/08/2007
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