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1588654685

NPI Code Detail

MEDICARE: KATHY H LEE MD

MEDICARE: KATHY H LEE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	60209738	NY
2	208M00000X	Hospitalist Physician	ME94765	FL
3	207R00000X	Internal Medicine Physician	ME94765	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1948791	OTHER		UHC
2	203070	OTHER		MAGNACARE
3	183AZ	OTHER		EMPIRE BC/BS
4	21171485677	OTHER		BEECHSTREET
5	P2668753	OTHER		OXFORD
6	2514130	OTHER		GHI
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	141435P	OTHER		HIP
9	56308	OTHER	FL	BCBS
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588654685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHY H LEE MD

Provider Business Mailing Address
First Line	:	13067 N TELECOM PKWY
Second Line	:
City	:	TEMPLE TERRACE
State	:	FL
Zip	:	33637-0926
Country	:	US
Telephone Number	:	813-779-6303
Fax Number	:	888-977-1998

Provider Business Practice Location Address
First Line	:	13067 N TELECOM PKWY
Second Line	:
City	:	TEMPLE TERRACE
State	:	FL
Zip	:	33637-0926
Country	:	US
Telephone Number	:	813-779-6303
Fax Number	:	888-977-1998

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2005
Last Update Date	:	10/21/2019

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Directions to “ KATHY H LEE MD” Practice Location

Language	Start Address	Practice Location

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