Provider Demographics
NPI:1053417220
Name:LEE, KENNETH H (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:H
Last Name:LEE
Suffix:
Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:5323 HARRY HINES BLVD
Mailing Address - Street 2:UT SOUTWESTERN OTOLARYNGOLOGY
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75390-7201
Mailing Address - Country:US
Mailing Address - Phone:214-648-2972
Mailing Address - Fax:214-648-9122
Practice Address - Street 1:5323 HARRY HINES BLVD.
Practice Address - Street 2:UT SOUTWESTERN OTOLARYNGOLOGY
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:45229-9035
Practice Address - Country:US
Practice Address - Phone:214-648-2972
Practice Address - Fax:214-648-9122
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPENDING207YP0228X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology