Individual
RICHARD BAILEY LEE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 825-7200
(270) 825-6630
Mailing address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 825-7200
(270) 825-6630
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26014
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000512579
BS PROVIDER NUMBER
—
05
—
64260144
—
KY
Enumeration date
03/31/2006
Last updated
04/06/2016
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