Kevin Robert Lee, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

KL007525 Issued in MI

Practice address

128 W Walled Lake Dr
Walled Lake, MI 48390-3455

Phone

(248) 926-1829

Fax

(248) 926-1837

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lakes Chiropractic PLLC

  • Chiropractor
  • Novi, MI
  • NPI 1053593269
  Medicare reassignment NPD Authorized official
• Inline Spines Chiropractic

  • Chiropractor
  • Walled Lake, MI
  • NPI 1124270368
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1659314151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 W WALLED LAKE DR",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903455",
            "telephone_number": "248-926-1829",
            "fax_number": "248-926-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 W WALLED LAKE DR",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903455",
            "telephone_number": "248-926-1829",
            "fax_number": "248-926-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KEVIN",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "KL007525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "KL007525",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "950F354240",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Alexis Knighton, LLMSW
• John Remington Krause
• Kourtney Laird
• Lakes Area Foot and Ankle Care, PLLC
• Sabrina Lynn Lanker
• Legacy Family Chiropractic & Wellness PLLC
• Amanda Elise Lesnick, LMSW
• Michael Lett, LPN
• Michael J Lipson, OD
• Hillary Little, NP-C

• Chiropractor in Walled Lake, MI
• Providers in Walled Lake, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.