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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710908322 | NPPES |
| Texas | Other | 8DJ101 | BCBSTX PROV REC # |
| Texas | MEDICAID | 302502501 | BCBSTX PROV REC # |
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