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Individual

MR. KIL SOO LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11133 DUNN RD, SAINT LOUIS, MO 63136-6119
(314) 653-4300
(314) 821-5600
Mailing address
55 WESTPORT PLZ, SUITE 300, SAINT LOUIS, MO 63146-3109
(314) 548-4772
(314) 548-4748

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036-060174
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200610103
MO
Enumeration date
02/05/2007
Last updated
10/06/2009
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