KYU WON LEE


Address: 19 Kendall Ter, Newton, MA 02458-2021
Phone: 6179655026

KYU WON LEE (NPI# 1023252459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023252459
Entity Type Individual
Full Name KYU WON LEE
Credential M.D.
Practice Address 19 Kendall Ter
Newton
MA 02458-2021
Practice Telephone 6179655026
Mailing Telephone 6179655026
Enumeration Date 2009-04-29
Last Update Date 2009-04-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
37024 MA Allopathic & Osteopathic Physicians

Office Location

Street Address 19 KENDALL TER
City NEWTON
State MA
Zip Code 02458-2021

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Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

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NPI Name Taxonomy Address Enumeration
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1598739211 Ruth Muriel Liberfarb Psychiatry & Neurology 55 Montrose St, Newton, MA 02458-2726 2006-02-17
1528229093 Muhammad Ali Md Pa Psychiatry & Neurology 700 Medical Center Dr, Newton, KS 67114-9013 2008-06-18

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City NEWTON
Zip Code 02458

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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