Lee, Kendrick E.

Lee, Kendrick E. is an individual health care provider with primary practice located at 3315 Broadway , Oakland CA 94611-5717. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Lee, Kendrick E. can be contacted via phone (510) 486-2300.

Contact Information

Primary practice address
3315 Broadway Oakland CA 94611-5717
Phone: (510) 486-2300
Fax: (510) 486-2333
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X G62668 California

Profile Details

NPI number 1508833377
LBN Legal business name Lee, Kendrick E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated May 11th, 2017 - about 9 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 1508833377 NPPES
California MEDICAID 00G626680
California Other 200018919
California Other 00G626680

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