Provider Demographics
NPI:1952538522
Name:YONG, LEE KIEN (MD)
Entity Type:Individual
Prefix:
First Name:LEE
Middle Name:KIEN
Last Name:YONG
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 1:335 OAK STAND CT
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63005-1310
Mailing Address - Country:US
Mailing Address - Phone:636-751-2042
Mailing Address - Fax:
Practice Address - Street 1:330 1ST CAPITOL DR STE 260
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63301-2888
Practice Address - Country:US
Practice Address - Phone:636-925-0900
Practice Address - Fax:636-925-0960
Is Sole Proprietor?:No
Enumeration Date:2009-06-22
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011001240207RI0200X
IL036123437207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease