Individual
MR. KENNETH STUART LEE
Active
Individual
MR. KENNETH STUART LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
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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