Provider Demographics
NPI:1871505891
Name:LEE, KING Y (MD)
Entity type:Individual
Prefix:DR
First Name:KING
Middle Name:Y
Last Name:LEE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:8901 W 74TH ST
Mailing Address - Street 2:STE 385
Mailing Address - City:SHAWNEE MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66204-2204
Mailing Address - Country:US
Mailing Address - Phone:913-362-7800
Mailing Address - Fax:913-362-7899
Practice Address - Street 1:8901 W 74TH ST
Practice Address - Street 2:STE 385
Practice Address - City:SHAWNEE MISSION
Practice Address - State:KS
Practice Address - Zip Code:66204-2204
Practice Address - Country:US
Practice Address - Phone:913-362-7800
Practice Address - Fax:913-362-7899
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2013-03-12
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Provider Licenses
StateLicense IDTaxonomies
KS0417607207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS584751OtherBCBS OF KANSAS
KS100000280BMedicaid
KS02986196OtherBCBS OF KANSAS CITY
KS0001034OtherMEDICARE PTAN
KS180015258OtherRAILROAD MEDICARE
KS100000280BMedicaid