Individual
KIET T. LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
840 WINTER ST, WALTHAM, MA 02451-1433
(781) 890-2133
(781) 890-2177
Mailing address
840 WINTER ST, ATTN: BOSTON SPORTS & SHOULDER CENTER, WALTHAM, MA 02451-1650
(781) 890-2133
(781) 890-2177
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA5572
MA
Other
Enumeration date
03/30/2015
Last updated
02/06/2025
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