Individual
DR. KENDRICK LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
30 HAGEN DR, SUITE 230, ROCHESTER, NY 14625-2658
(585) 899-3450
Mailing address
15 CHELSEA WAY, FAIRPORT, NY 14450-3214
(585) 626-8902
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
259274
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
259274
NY
390200000X
Student in an Organized Health Care Education/Training Program
259274
NY
Other
Enumeration date
06/30/2009
Last updated
11/06/2014
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