Individual
DR. KIWON LEE
Active
Individual
DR. KIWON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
P2717
TX
2084N0400X
Neurology Physician
P2717
TX
2084V0102X
Vascular Neurology Physician
Primary
25MA09016800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302502501
—
TX
01
—
8DJ101
BCBSTX PROV REC #
TX
Enumeration date
07/21/2006
Last updated
06/12/2024
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