Lie, Kevin T.

Lie, Kevin T. is an individual health care provider with primary practice located at 1348 Walton Way Ste 5700 , Augusta GA 30901-5110. He recently has 13 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy, Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / In Vivo & In Vitro Nuclear Medicine, Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Therapeutic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Lie, Kevin T. can be contacted via phone (706) 774-7022.

Contact Information

Primary practice address
1348 Walton Way Ste 5700 Augusta GA 30901-5110
Fax: (706) 774-7023
Website:

Profile Details

NPI number 1659570455
LBN Legal business name Lie, Kevin T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2007
Last updated Apr 20th, 2023 - about last year

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 1659570455 NPPES
Pennsylvania MEDICAID 1025726440001
Pennsylvania Other 465114
Pennsylvania Other 204881619259
Pennsylvania Other P00648554
Pennsylvania MEDICAID 2788381

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