Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | D0069570 | MD |
NPI | 1023270600 |
---|---|
Provider Name | Dr. Kameryn Janelle Lee |
First Address | Ocean Pines, MD 21811-4210 |
Second Address | Ocean City, MD 21842-9341 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2008 |
Last Update Date | 10/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
084823500 | (05) | DC |
1023270600 | (05) | VA |
416790200 | (05) | MD |