Provider Demographics
NPI:1598704595
Name:LEE, KIHAN FRANCIS (MD)
Entity Type:Individual
Prefix:DR
First Name:KIHAN
Middle Name:FRANCIS
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3640 MAIN ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01107-1145
Mailing Address - Country:US
Mailing Address - Phone:413-732-4242
Mailing Address - Fax:413-732-4040
Practice Address - Street 1:3640 MAIN ST
Practice Address - Street 2:SUITE 302
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01107-1145
Practice Address - Country:US
Practice Address - Phone:413-732-4242
Practice Address - Fax:413-732-4040
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA81838208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA32780510Medicaid
MA32780510Medicaid
MAA20543Medicare PIN
P00351564Medicare PIN