Provider Demographics
NPI:1578722997
Name:LEE, KELVIN CHEE-MING (MD)
Entity Type:Individual
Prefix:DR
First Name:KELVIN
Middle Name:CHEE-MING
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 N ORANGE AVE STE 310
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-4642
Mailing Address - Country:US
Mailing Address - Phone:407-303-2001
Mailing Address - Fax:407-303-2450
Practice Address - Street 1:2501 N ORANGE AVE STE 310
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-4642
Practice Address - Country:US
Practice Address - Phone:407-303-2001
Practice Address - Fax:407-303-2450
Is Sole Proprietor?:No
Enumeration Date:2008-06-02
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY247060208000000X
TN489302080P0202X
FLME1232022080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics