Lee, Kenneth Adam
Lee, Kenneth Adam is an individual health care provider with primary practice located at 1240 S Old Dixie Hwy , Jupiter FL 33458-7205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Lee, Kenneth Adam can be contacted via phone (561) 263-4400.Contact Information
Primary practice address
1240 S Old Dixie Hwy
Jupiter FL 33458-7205
Phone: (561) 263-4400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 25MA08616300 | New Jersey |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | ME104831 | Florida |
Profile Details
| NPI number | 1295734960 |
|---|---|
| LBN Legal business name | Lee, Kenneth Adam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2005 |
| Last updated | Sep 15th, 2011 - about 15 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 | 1295734960 | NPPES |
| Other | 0002 | BCBS | |
| Other | 2139008 | BCBS | |
| MEDICAID | 407954000 | BCBS | |
| Other | 64563901 | BCBS | |
| Other | 3835654 | BCBS | |
| Other | 607156001 | BCBS | |
| Other | 250653 | BCBS | |
| Other | 7880154 | BCBS |
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