Individual
DR. LEE R RUNKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
10500 SUMMIT AVE, KENSINGTON, MD 20895-2422
(301) 897-2376
(301) 897-2333
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MIDATLANTIC PERMANENTE MEDICAL GRP PC, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
01246
MD
Other
Enumeration date
12/04/2006
Last updated
12/08/2010
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