Choi, Kenneth Lee

Choi, Kenneth Lee is an individual health care provider with primary practice located at 90 W 86Th Ave Nani, Ltd, Merrillville IN 46410-7086. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Choi, Kenneth Lee can be contacted via phone (219) 791-1555.

Contact Information

Primary practice address
90 W 86Th Ave Nani, Ltd Merrillville IN 46410-7086
Phone: (219) 791-1555
Fax: (219) 791-1560
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036111704 Illinois
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 01063644A Indiana

Profile Details

NPI number 1619098571
LBN Legal business name Choi, Kenneth Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Dec 14th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619098571 NPPES
Indiana Other 628850 MEDICARE GROUP
Indiana Other 100082060 MEDICARE GROUP
Indiana MEDICAID 200876580 MEDICARE GROUP
Indiana Other 000000536207 MEDICARE GROUP

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