Individual
DR. KENT CA KIE LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
56-45 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-1511
Mailing address
4237 UNION ST, FLUSHING, NY 11355-2543
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1972090421
NY
207P00000X
Emergency Medicine Physician
Primary
308862
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
04/20/2018
Last updated
08/06/2024
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