Lee, Kyeong Philip
Lee, Kyeong Philip is an sole proprietor health care provider with primary practice located at 621 S New Ballas Rd Suite 5003 B, St Louis MO 63141. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Lee, Kyeong Philip can be contacted via phone (314) 227-2020.Contact Information
Primary practice address
621 S New Ballas Rd Suite 5003 B
St Louis MO 63141
Phone: (314) 227-2020
Fax: (314) 227-2021
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 105550 | Missouri |
Profile Details
| NPI number | 1770511271 |
|---|---|
| LBN Legal business name | Lee, Kyeong Philip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Dec 7th, 2009 - about 17 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 | 1770511271 | NPPES |
| Missouri | MEDICAID | 207678228 |
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