Lee, Kiwon

Lee, Kiwon is an individual health care provider with primary practice located at 99 Beauvoir Ave , Summit NJ 07901-3533. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Vascular Neurology. Allopathic & Osteopathic Physicians / Vascular Neurology is his primary health care specialty. Lee, Kiwon can be contacted via phone (908) 522-2829.

Contact Information

Primary practice address
99 Beauvoir Ave Summit NJ 07901-3533
Phone: (908) 522-2829
Fax: (908) 522-6417
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X P2717 Texas
Allopathic & Osteopathic Physicians / Neurology 2084N0400X P2717 Texas
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X 25MA09016800 New Jersey

Profile Details

NPI number 1710908322
LBN Legal business name Lee, Kiwon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jun 12th, 2024 - about 2 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 1710908322 NPPES
Texas Other 8DJ101 BCBSTX PROV REC #
Texas MEDICAID 302502501 BCBSTX PROV REC #

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