Doctor Name: | DR. KENNETH ROBERT LEE |
NPI Number: | 1174512867 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 79108 |
Business Practice Address: | 75 Francis Street Armory 3 Brigham And Womens Hospital, Department Of Pathology Boston, MA - 02115 |
Business Phone Number: | 6177324715 |
Business Fax Number: | |
Mailing Address: | 111 Cypress St, Brigham And Womens Physicians Organization BROOKLINE |
State: | MA |
Postal Code: | 02445 |
Phone Number: | 6175821200 |
Fax Number: | |
NPI Enumeration Date: | 10/17/2005 |
NPI Last Update Date: | 12/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 79108 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |