Lee, Kang K.

Lee, Kang K. is an individual health care provider with primary practice located at 90 Jackson Pike , Gallipolis OH 45631-1560. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Lee, Kang K. can be contacted via phone (749) 446-5371.

Contact Information

Primary practice address
90 Jackson Pike Gallipolis OH 45631-1560
Phone: (749) 446-5371
Fax: (740) 446-5711
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35-04-5728 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 18084 West Virginia

Profile Details

NPI number 1871530840
LBN Legal business name Lee, Kang K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Feb 21st, 2014 - about 11 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 1871530840 NPPES
Ohio MEDICAID 0431894
Ohio Other 000000181980
Ohio MEDICAID 0109417000
Ohio Other 0431894
Ohio Other 000000007615
Ohio Other 001714077
Ohio Other 370008780
Ohio Other 310917085036

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