Organization
KL MODERN SPINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH LEE (CREDENTIALING COORDINATOR)
(281) 802-1441
Entity
Organization
Contact information
Practice address
16659 SOUTHWEST FWY, SUITE 561, SUGAR LAND, TX 77479-2375
(713) 774-6337
(713) 634-2697
Mailing address
16659 SOUTHWEST FWY, SUITE 561, SUGAR LAND, TX 77479-2375
(713) 774-6337
(713) 634-2697
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/22/2008
Last updated
10/19/2008
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