Doctor Name: | MR. KEVIN T. LIE |
NPI Number: | 1659570455 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 35090995 |
Business Practice Address: | 4755 Ogletown Stanton Rd Suite 1070 Newark, DE - 197182200 |
Business Phone Number: | 3027335625 |
Business Fax Number: | 3027335665 |
Mailing Address: | 200 Hygeia Dr, Suite 2300 NEWARK |
State: | DE |
Postal Code: | 197132049 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/12/2007 |
NPI Last Update Date: | 09/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 35090995 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |