Lee, Kenneth Robert
Lee, Kenneth Robert is an individual health care provider with primary practice located at 75 Francis Street Armory 3 Brigham And Womens Hospital, Department Of Pathology, Boston MA 02115. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Anatomic Pathology is his primary health care specialty. Lee, Kenneth Robert can be contacted via phone (617) 732-4715.Contact Information
Primary practice address
75 Francis Street Armory 3 Brigham And Womens Hospital, Department Of Pathology
Boston MA 02115
Phone: (617) 732-4715
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 79108 | Massachusetts |
Other Service Providers / Specialist | 174400000X | 79108 | Massachusetts |
Profile Details
NPI number | 1174512867 |
---|---|
LBN Legal business name | Lee, Kenneth Robert |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 17th, 2005 |
Last updated | Dec 19th, 2014 - about 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1174512867 | NPPES |
Massachusetts | MEDICAID | 3121208 |
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