Whalio Doctors

NPI 1205813144

Kyu Chan Lee, MD

Practitioner Physical Medicine & Rehabilitation Physician Columbia, SC

Practice location

Address
4500 Stuart Ave # 9-34, Columbia, SC 29207-5700
Phone
(803) 751-0456
Mailing address
4500 Stuart Street Moncriefahc 9-34, Fort Jackson, Columbia, SC 29207

Registered specialties

Physical Medicine & Rehabilitation Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence D0023629 (MD)

Registry record

NPI
1205813144
Entity type
Individual
Sex (as registered)
Male
NPI issued
30 Dec 2005
Record last updated
21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.