Ken P Lee MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD34440 Issued in WA

Legal business name

KEN P LEE MD PLLC

Practice address

2740 Pacific Ave SE
Olympia, WA 98501

Phone

(360) 705-3061

Fax

(360) 705-2965

NPI assigned

Sep 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ken P Lee, MD

Title

Member President

Phone

(360) 705-3061

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Van B. Ly, O.D.

  • Optometrist
  • Olympia, WA
  • NPI 1386836591
  NPD

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1689778979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11009",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985081009",
            "telephone_number": "360-352-2037",
            "fax_number": "360-352-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 PACIFIC AVE SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98501",
            "telephone_number": "360-705-3061",
            "fax_number": "360-705-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN P LEE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEMBER PRESIDENT",
        "authorized_official_telephone_number": "360-705-3061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD34440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1100098",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PALMETTO GBA",
            "identifier": "DN9936",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0113105",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonya Michelle Kelly
• Theresa Ford Kelso, MSW
• Lauren Kelson, PA
• Michael R. Kelson, D.D.S.
• Stephen Mathew Kelson, D.D.S., M.D.
• Alta Blanche Kendall, ARNP NNP-BC
• Josefina Kender
• Jeffrey Lee Kendig, LPN
• Tracy Colleen Kenela, M.A., LMHC, CRC
• Amber Kenison

• Internal Medicine Physician in Olympia, WA
• Providers in Olympia, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.