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NPI Code Detail

MEDICARE: KENYA DENAY LEE M.D.

MEDICARE: KENYA DENAY LEE M.D.
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
1208000000XPediatrics Physician46715CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568452779
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENYA DENAY LEE M.D.
Provider Business Mailing Address
First Line : 6071 E WOODMEN RD
Second Line : SUITE 105
City : COLORADO SPRINGS
State : CO
Zip : 80923-2601
Country : US
Telephone Number : 719-597-8707
Fax Number : 719-597-6864
Provider Business Practice Location Address
First Line : 6071 E WOODMEN RD
Second Line : SUITE 105
City : COLORADO SPRINGS
State : CO
Zip : 80923-2601
Country : US
Telephone Number : 719-597-8707
Fax Number : 719-597-6864
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2005
Last Update Date : 06/10/2010

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Directions to “ KENYA DENAY LEE M.D.” Practice Location

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