Provider Demographics
NPI:1053555755
Name:LE, KENNETH LAM (MD)
Entity type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:LAM
Last Name:LE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9000 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 110
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1526
Mailing Address - Country:US
Mailing Address - Phone:832-843-7444
Mailing Address - Fax:
Practice Address - Street 1:9000 SOUTHWEST FWY
Practice Address - Street 2:SUITE 110
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1526
Practice Address - Country:US
Practice Address - Phone:832-843-7444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-24
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN3819208VP0014X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology