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:
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Health care specialties

SpecialtyCodeLicense #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 12 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 1174512867 NPPES
Massachusetts MEDICAID 3121208

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