Individual
KEVIN D LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2330 UTAH AVE STE 200, EL SEGUNDO, CA 90245-4817
(281) 766-0959
Mailing address
1640 HOSPITAL DR, SANTA FE, NM 87505-4754
(505) 983-2611
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
227098
MA
2085R0202X
Diagnostic Radiology Physician
4301513963
MI
2085R0202X
Diagnostic Radiology Physician
85620-20
WI
2085R0202X
Diagnostic Radiology Physician
Primary
ME164190
FL
Other
Enumeration date
05/02/2006
Last updated
04/16/2025
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