Active NPI
Kie Yun Lee, M.D.
- General Practice Physician
- Ames, IA
National Provider Identifier
1235393091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 18809
- Practice address
- 4632 Webster St
Ames, IA 50014-7999 - Phone
- (515) 268-5522
- Fax
- (515) 268-5524
- NPI assigned
- Jul 10, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 18809 | IA | Primary |
Addresses
Primary practice location
4632 Webster St
Ames, IA 50014-7999
Mailing address
4632 Webster St
Ames, IA 50014-7999
Phone (515) 268-5522
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18809 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215648000000",
"number": "1235393091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4632 WEBSTER ST",
"city": "AMES",
"state": "IA",
"postal_code": "500147999",
"telephone_number": "515-268-5522",
"fax_number": "515-268-5524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4632 WEBSTER ST",
"city": "AMES",
"state": "IA",
"postal_code": "500147999",
"telephone_number": "515-268-5522",
"fax_number": "515-268-5524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "KIE YUN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-10",
"last_updated": "2008-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IA",
"license": "18809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ames, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.