Kuo L Lee, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

014704 Issued in GA

Practice address

842 Professional Center Dr
Eastman, GA 31023-6734

Phone

(478) 374-4305

Fax

(478) 374-1366

NPI assigned

Jul 20, 2005

Reactivated

Mar 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274313600000",
    "number": "1659370682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 PROFESSIONAL CENTER DR",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236734",
            "telephone_number": "478-374-4305",
            "fax_number": "478-374-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 PROFESSIONAL CENTER DR",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236734",
            "telephone_number": "478-374-4305",
            "fax_number": "478-374-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KUO",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2010-05-20",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "014704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00184214A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael A. Knight Sr., D.D.S.
• Michael Alan Knight Jr., DMD
• Daniel Wilson Krevdo, RPA
• Jennifer Law
• Fred Jackson Lee, LPC
• LHCG Ccxxvi, LLC
• Vickie Locke
• Brittany Chandler Lord, MD
• Lou R. Barker M.D., P.C.
• Michael Lowery

• Specialist in Eastman, GA
• Providers in Eastman, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.