Individual
DR. KIMANH T LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1564 OPOSSUMTOWN PIKE, FREDERICK, MD 21702-4359
(301) 663-3137
(301) 695-6939
Mailing address
1564 OPOSSUMTOWN PIKE, FREDERICK, MD 21702-4359
(301) 663-3137
(301) 695-6939
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0047535
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336226
UNITED
—
01
—
512102
AETNA PVN
—
01
—
535339-01
CAREFIRST BCBS MARYLAND
—
01
—
W567-0005
CAREFIRST BCBS GHMSI
—
Enumeration date
01/27/2006
Last updated
07/12/2007
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