Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | PENDING | TX |
NPI | 1053417220 |
---|---|
Provider Name | Dr. Kenneth H Lee |
First Address | Dallas, TX 75390-7201 |
Second Address | Dallas, TX 45229-9035 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2006 |
Last Update Date | 19/11/2007 |