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Individual

DR. KENDRICK E. LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3315 BROADWAY, OAKLAND, CA 94611-5717
(510) 486-2300
(510) 486-2333
Mailing address
200 PORTER DR, SUITE 101, SAN RAMON, CA 94583-1587
(925) 838-1440

Taxonomy

Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
G62668
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G626680
BLUE SHIELD
CA
05
00G626680
CA
01
200018919
RAIL ROAD MEDICARE
CA
Enumeration date
03/01/2006
Last updated
05/11/2017
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