Individual
MR. KENNETH STUART LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
2325 STANTONSBURG RD, ECU PHYSICIANS BEUROSURGICAL & SPINE CENTER, GREENVILLE, NC 27834-7534
(252) 752-5156
(252) 752-0419
Mailing address
2325 STANTONSBURG RD, GREENVILLE, NC 27834-7534
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
17725
AZ
207T00000X
Neurological Surgery Physician
Primary
27482
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51512
BCBS NC
NC
05
—
7951512
—
NC
01
—
P00709998
RAILROAD MEDICARE
NC
Enumeration date
09/02/2006
Last updated
12/17/2020
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