Individual
KENNETH ROBERT LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(407) 648-3800
(407) 425-5203
Mailing address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(407) 648-3800
(407) 425-5203
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
ME 86698
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279122600
—
FL
01
—
ME86698
MEDICAL LICENSE
FL
Enumeration date
05/15/2007
Last updated
11/09/2016
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