MEDICARE: DR. KENNETH THOMAS 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
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	P4976	TX
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	A97229	CA

General Provider Information

NPI Number	:	1639161243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENNETH THOMAS LEE M.D.

Provider Business Mailing Address
First Line	:	1180 N INDIAN CANYON DR
Second Line	:	STE E205
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-4800
Country	:	US
Telephone Number	:	760-325-1202
Fax Number	:	760-864-7105

Provider Business Practice Location Address
First Line	:	1180 N INDIAN CANYON DR
Second Line	:	STE E205
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-4800
Country	:	US
Telephone Number	:	760-325-1202
Fax Number	:	760-864-7105

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

Provider Enumeration Date	:	08/19/2005
Last Update Date	:	11/29/2021

Similar Medicare Providers

1386646347 — DR. CHARLES EDWARD ANDERSON JR. MD
Practice Location Address:

1180 N INDIAN CANYON DR , STE E408
PALM SPRINGS, CA
92262-4800

Practice Phone: 760-969-5200
Practice Fax: 760-969-5201

1871595660 — DR. LAWRENCE W. SERIF D.O.
Practice Location Address:

1180 N INDIAN CANYON DR , SUITE W-201
PALM SPRINGS, CA
92262-4800

Practice Phone: 760-416-4511
Practice Fax: 760-416-4512

1649272337 — DR. DOUGLAS JAY ROGER M.D.
Practice Location Address:

1180 N INDIAN CANYON DR , SUITE W-201
PALM SPRINGS, CA
92262-4800

Practice Phone: 760-416-4511
Practice Fax: 760-416-4512

1528050457 — PAUL T MANNEY P.A.
Practice Location Address:

1180 N INDIAN CANYON DR , SUITE W-201
PALM SPRINGS, CA
92262-4800

Practice Phone: 760-416-4511
Practice Fax: 760-416-4512

1174519508 — DONALD E. R. POISSON NPP
Practice Location Address:

1180 N INDIAN CANYON DR , SUITE 408
PALM SPRINGS, CA
92262-4800

Practice Phone: 760-969-5200
Practice Fax: 760-969-5201

1013904424 — SAIED HABIBIPOUR M.D.
Practice Location Address:

1180 N INDIAN CANYON DR , E318
PALM SPRINGS, CA
92262-4800

Practice Phone: 760-416-1376
Practice Fax: 760-416-1381

Directions to “ DR. KENNETH THOMAS LEE M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.