| Kang K Lee, MD | |
|
90 Jackson Pike, Gallipolis, OH 45631-1560 | |
| (749) 446-5371 | |
| (740) 446-5711 |
| Full Name | Kang K Lee |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 90 Jackson Pike, Gallipolis, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871530840 | NPI | - | NPPES |
| 0431894 | Medicaid | OH | |
| 000000181980 | Other | OH | UNISON MEDICAID |
| 0109417000 | Medicaid | WV | |
| 0431894 | Other | OH | MOLINA MEDICAID |
| 000000007615 | Other | ANTHEM BCBS | |
| 001714077 | Other | MOUNTAIN STATE BCBS | |
| 370008780 | Other | RR MEDICARE | |
| 310917085036 | Other | OH | OH MEDICAID CARESOURCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 35-04-5728 (Ohio) | Primary |
| 208000000X | Pediatrics | 18084 (West Virginia) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Kang K Lee, MD 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (749) 446-5371 | Kang K Lee, MD 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (749) 446-5371 |
Jon M. Sullivan, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5371 Fax: 740-446-5711 | |
Jonathan Mathis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-446-5711 | |
Mr. Jacob Lawrence Pessia, MS IV Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-441-1949 Fax: 740-446-5982 | |
Shana Allie Vore, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-446-5711 | |
Pradeep K. Kandula, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5371 Fax: 740-446-5711 | |
Danielle T. Cappelletti, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5371 Fax: 740-446-5711 | |
Il H. Kim, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5371 Fax: 740-446-5711 |