Individual
KANG K. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(749) 446-5371
(740) 446-5711
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(749) 446-5371
(740) 446-5711
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
18084
WV
208000000X
Pediatrics Physician
Primary
35-04-5728
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000007615
ANTHEM BCBS
—
01
—
000000181980
UNISON MEDICAID
OH
01
—
001714077
MOUNTAIN STATE BCBS
—
05
—
0109417000
—
WV
01
—
0431894
MOLINA MEDICAID
OH
05
—
0431894
—
OH
01
—
310917085036
OH MEDICAID CARESOURCE
OH
01
—
370008780
RR MEDICARE
—
Enumeration date
05/31/2006
Last updated
02/21/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us