Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871530840 Individual Practitioner Male Practitioner

Dr. Kang K. Lee , MD

Pediatrics • Gallipolis, OH

Professional Overview & Biography Verified Profile Summary

Dr. Kang Lee, MD is a registered healthcare professional specializing in Pediatrics in Gallipolis, OH. Practice services are available at 90 JACKSON PIKE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

90 Jackson Pike

Gallipolis, OH 456311560

Telephone 7494465371
Fax 7404465711
Associated Practice Facility / Clinic
🏢 Holzer Hospital Foundation Facility NPI 1922112747

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Gallipolis, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
16 Specialists

Practicing in Gallipolis, OH (3057 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OH 35-04-5728

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License WV 18084

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0109417000 (WV)
Medicaid State Provider ID
0431894 (OH)
Commercial Insurance / Payer ID Molina Medicaid
0431894 (OH)
Commercial Insurance / Payer ID Anthem Bcbs
000000007615
Commercial Insurance / Payer ID Mountain State Bcbs
001714077
Commercial Insurance / Payer ID Rr Medicare
370008780
Commercial Insurance / Payer ID Oh Medicaid Caresource
310917085036 (OH)
Commercial Insurance / Payer ID Unison Medicaid
000000181980 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
NPI 1053341370

Doctor of Medicine (M.D.)

NPI 1063890200

Doctor of Medicine (M.D.)

Joanna Miller , CNP

Nurse Practitioner - Family

NPI 1073894242

Certified Nurse Practitioner

Marina Burgess , FNP-C

Nurse Practitioner

NPI 1083588370

Family Nurse Practitioner (Certified)

NPI 1144424698

Doctor of Medicine (M.D.)

NPI 1225082670

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 21, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location February 21, 2014

Registered at 90 JACKSON PIKE, GALLIPOLIS, OH 456311560 (Tel: 7494465371)

📍
Updated Business Mailing Address February 21, 2014

Registered at 90 JACKSON PIKE, GALLIPOLIS, OH 456311560 (Tel: 7494465371)

👤
Provider Name / Credentials Updated February 21, 2014

Recorded as KANG LEE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2014

Pediatrics (License #35-04-5728 in OH)

🟢
Initial NPI Registration & Enumeration May 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871530840
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2006
Last Update: February 21, 2014
Sole Proprietor: No

Mailing Address

90 Jackson Pike

Gallipolis, OH 456311560

Phone: 7494465371

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.