Lee, Kenneth Robert

Lee, Kenneth Robert is an sole proprietor health care provider with primary practice located at 1400 S Orange Ave , Orlando FL 32806-2134. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Lee, Kenneth Robert can be contacted via phone (407) 648-3800.

Contact Information

Primary practice address
1400 S Orange Ave Orlando FL 32806-2134
Phone: (407) 648-3800
Fax: (407) 425-5203
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X ME 86698 Florida

Profile Details

NPI number 1841406733
LBN Legal business name Lee, Kenneth Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2007
Last updated Nov 9th, 2016 - about 10 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 1841406733 NPPES
Florida MEDICAID 279122600
Florida Other ME86698

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