Lee, Kenneth

Lee, Kenneth is an individual health care provider with primary practice located at 4455 W 117Th St Suite 300, Hawthorne CA 90250-2241. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Lee, Kenneth can be contacted via phone (310) 645-0444.

Contact Information

Primary practice address
4455 W 117Th St Suite 300 Hawthorne CA 90250-2241
Fax: (310) 978-0379
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A543421 Arkansas

Profile Details

NPI number 1831149475
LBN Legal business name Lee, Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Mar 7th, 2023 - about 2 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 1831149475 NPPES
California MEDICAID 00A534210

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