Individual
DR. KEN W LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8725 N WICKHAM RD, MELBOURNE, FL 32940-2239
(321) 434-9568
(321) 434-9231
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-9568
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
ME133936
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022559000
—
FL
01
—
JD812Z
MEDICARE
FL
Enumeration date
03/22/2006
Last updated
05/20/2025
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