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Individual

DR. KING Y LEE

Active
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Individual

DR. KING Y LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

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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