Active NPI
Kwang K Lee, CHIROPRACTOR
- Chiropractor
- Edmonds, WA
National Provider Identifier
1144375064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH3289
- Practice address
- 23830 Hwy 99 101
Edmonds, WA 98026 - Phone
- (425) 778-9191
- Fax
- (425) 673-5122
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH3289 | WA | Primary |
Addresses
Primary practice location
23830 Hwy 99 101
Edmonds, WA 98026
Mailing address
23830 Hwy 99 101
Life Chiropractic Clinic
Edmonds, WA 98026
Phone (425) 778-9191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH3289 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144375064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23830 HWY 99 101",
"address_2": "LIFE CHIROPRACTIC CLINIC",
"city": "EDMONDS",
"state": "WA",
"postal_code": "98026",
"telephone_number": "425-778-9191",
"fax_number": "425-673-5122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23830 HWY 99 101",
"city": "EDMONDS",
"state": "WA",
"postal_code": "98026",
"telephone_number": "425-778-9191",
"fax_number": "425-673-5122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "KWANG",
"middle_name": "K",
"name_prefix": "Mr.",
"credential": "CHIROPRACTOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH3289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.