DR. KENNETH ALSTON LEE


Address: 6420 Clayton Rd, Saint Louis, MO 63117-1811
Phone: 5733594485

DR. KENNETH ALSTON LEE (NPI# 1063040574) 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) 1063040574
Entity Type Individual
Full Name DR. KENNETH ALSTON LEE
Credential DO
Practice Address 6420 Clayton Rd
Saint Louis
MO 63117-1811
Practice Telephone 5733594485
Enumeration Date 2020-03-30
Last Update Date 2020-07-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 2020019424 MO Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers KENNETH LEE

NPI Name Taxonomy Address Enumeration
1376010694 Kenneth Brian Lee Student in an Organized Health Care Education/Training Program 12603 Hogans Aly, Chester, VA 23836-8600 2018-10-24
1730660531 Kenneth Lee Physical Therapist 13178 Sw 30th St, Miramar, FL 33027-3838 2018-08-28
1184067852 Kenneth Lee Student in an Organized Health Care Education/Training Program 331 Hawk Ridge Dr, Richmond, CA 94806-5819 2013-04-12
1003076670 Kenneth Ray Lee Non-emergency Medical Transport (VAN) 3285 Highway 1045, Amite, LA 70422-7239 2008-06-16
1609034446 Kenneth V Lee Dentist 13352 Lincoln Way, Auburn, CA 95603-3226 2008-05-29
1316013543 Kenneth Alvin Lee Social Worker 315 Corbett Ave, San Francisco, CA 94114-1884 2006-11-28
1275604928 Kenneth N Lee Dentist 422 Forest Ave, Paramus, NJ 07652-5519 2006-11-13
1912929548 Kenneth K. Lee Dentist 50 Route 17k Ste 104, Newburgh, NY 12550-3974 2006-07-24
1902845225 Kenneth W Lee Chiropractor 1475 E Oakton St, Suite 4, Des Plaines, IL 60018-2166 2006-06-05
1811947807 Kenneth M Lee Chiropractor 5935 E Spring St, Long Beach, CA 90808-3752 2006-05-11

Office Location

Street Address 6420 CLAYTON RD
City SAINT LOUIS
State MO
Zip Code 63117-1811

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649276874 Lynn A Whitmer Anesthesiology 6420 Clayton Rd, Saint Louis, MO 63117-1811 2005-06-22
1477162147 James Unverferth Pharmacist 6420 Clayton Rd, Saint Louis, MO 63117-1811 2020-07-28
1184248395 Anna Petrovna Puzyrkova Student in an Organized Health Care Education/Training Program 6420 Clayton Rd, Saint Louis, MO 63117-1811 2020-06-03
1376163261 Md S Ali Student in an Organized Health Care Education/Training Program 6420 Clayton Rd, Saint Louis, MO 63117-1811 2020-04-21
1992324214 Avi Gandhi Student in an Organized Health Care Education/Training Program 6420 Clayton Rd, Saint Louis, MO 63117-1811 2020-04-16
1205456597 Faisal Akasha Ramadan Sakeen Internal Medicine 6420 Clayton Rd, Saint Louis, MO 63117-1811 2020-04-16
1255950796 Saira Ibrahim Student in an Organized Health Care Education/Training Program 6420 Clayton Rd, Saint Louis, MO 63117-1811 2020-04-14
1023637568 Max Harrison Rich Student in an Organized Health Care Education/Training Program 6420 Clayton Rd, Saint Louis, MO 63117-1811 2020-04-14
1386263879 Sara Sartaj Student in an Organized Health Care Education/Training Program 6420 Clayton Rd, Saint Louis, MO 63117-1811 2020-04-14
1558980037 Nedaa M. Husainat Student in an Organized Health Care Education/Training Program 6420 Clayton Rd, Saint Louis, MO 63117-1811 2020-04-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255956611 Efehi Kelly Ogbomo Student in an Organized Health Care Education/Training Program 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 2020-06-11
1619533890 Abdul Rauf Student in an Organized Health Care Education/Training Program 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 2019-05-14
1083278477 Mohamed Maali Gumaa Mohamed Student in an Organized Health Care Education/Training Program 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 2019-05-01
1750945556 Samrat Jun Jayanth Student in an Organized Health Care Education/Training Program 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 2019-04-26
1215491329 Latonya Allen Counselor 1612 S. Big Bend Blvd, St. Louis, MO 63117 2019-01-23
1265917025 Blue Stars Therapy, LLC Occupational Therapist 1101 Edward Terrace, Apt A, St. Louis, MO 63117 2018-09-27
1770060014 Ultra Care Home Services LLC Home Health 7353 Dale Ave, Saint Louis, MO 63117 2018-07-19
1235623562 Melissa Valerie Taylor Counselor Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 2018-06-20
1124517289 Jideofor Ebony Obodozie Student in an Organized Health Care Education/Training Program 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 2018-05-04
1770071706 Sivaram Prabhuji Muppaneni Student in an Organized Health Care Education/Training Program Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 2018-04-25
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356986541 Pain Relief Center of St Louis LLC Family Medicine 1115 Olivette Executive Pkwy, Saint Louis, MO 63132-3259 2019-11-12
1720635329 Mercy Clinic East Communities Family Medicine 10004 Kennerly Rd Ste 395b, Saint Louis, MO 63128-2190 2019-08-20
1063066777 Isabella Citizens for Health, Inc. Family Medicine 312 Union St, Saint Louis, MI 48880-1830 2019-07-31
1043864010 Isabella Citizens for Health, Inc. Family Medicine 113 E Saginaw St, Saint Louis, MI 48880-1755 2019-07-29
1558896969 Shivani Sockanathan Family Medicine 969 N Mason Rd Ste 145a, Saint Louis, MO 63141-6282 2017-04-23
1598299646 Kharole Compere Family Medicine 175 N Oaks Plz, Saint Louis, MO 63121-2925 2017-04-16
1396109880 Ritesh Gandhi Family Medicine 7345 Watson Rd Ste 203, Saint Louis, MO 63119 2016-04-11
1144608035 Daniel Urcuyo Family Medicine 4625 Lindell Blvd Ste 338, Saint Louis, MO 63108 2015-05-11
1376958728 Jamil Neme Family Medicine 3660 Vista Ave Ste 103, Saint Louis, MO 63110-2540 2014-06-24
1144633819 Perini Shah Family Medicine 12700 Southfork Rd Ste 215, Saint Louis, MO 63128-3276 2014-06-10
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Competitor

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City SAINT LOUIS
Zip Code 63117

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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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