Lee, Minh Kevin

Lee, Minh Kevin is an individual health care provider with primary practice located at 122 1St Ave Suite 600, Fairbanks AK 99701-4803. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Lee, Minh Kevin can be contacted via phone (907) 452-8251.

Contact Information

Primary practice address
122 1St Ave Suite 600 Fairbanks AK 99701-4803
Phone: (907) 452-8251
Fax: (907) 459-3837
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 20678 Texas

Profile Details

NPI number 1417985201
LBN Legal business name Lee, Minh Kevin
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Aug 29th, 2007 - about 18 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 1417985201 NPPES
Arizona MEDICAID 958209
Arizona MEDICAID 22775528

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