Individual
DR. KING Y LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8901 W 74TH ST, STE 385, SHAWNEE MISSION, KS 66204-2204
(913) 362-7800
(913) 362-7899
Mailing address
8901 W 74TH ST, STE 385, SHAWNEE MISSION, KS 66204-2204
(913) 362-7800
(913) 362-7899
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0417607
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001034
MEDICARE PTAN
KS
01
—
02986196
BCBS OF KANSAS CITY
KS
05
—
100000280B
—
KS
01
—
180015258
RAILROAD MEDICARE
KS
01
—
584751
BCBS OF KANSAS
KS
Enumeration date
08/12/2006
Last updated
03/12/2013
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