Lee, Kevin M

Lee, Kevin M is an individual health care provider with primary practice located at 360 East Main , Rexburg ID 83440. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Lee, Kevin M can be contacted via phone (208) 356-9550.

Contact Information

Primary practice address
360 East Main Rexburg ID 83440
Phone: (208) 356-9550
Fax: (208) 356-8023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X M-7310 Idaho

Profile Details

NPI number 1518960079
LBN Legal business name Lee, Kevin M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Jan 24th, 2017 - about 8 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 1518960079 NPPES
Idaho MEDICAID 804270300

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