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MR. KEVIN T. LIE MD

Physicians Nuclear Medicine

Provider NPI: 1659570455

Provider Information:
MR. KEVIN T. LIE MD
Gender: M
Not Sole Proprietor

Practice Location:
4755 OGLETOWN - STANTON ROAD SUITE 1E20 NEWARK, DE 19718 US
Tel: 302-733-5625  Fax: 302-733-5665

Business Mailing Address:
4755 OGLETOWN - STANTON ROAD SUITE 1E20 NEWARK, DE 19718 US
Tel: 302-733-5625  Fax: 302-733-5665

NPI Information:
NPI: 1659570455
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207U00000XPhysicians
Nuclear Medicine
OH35090995
N207UN0901XPhysicians
Nuclear Medicine
OH35090995
N207UN0902XPhysicians
Nuclear Medicine
OH35090995
N207UN0903XPhysicians
Nuclear Medicine
OH35090995
N2085B0100XPhysicians
Radiology
OH35090995
N2085N0700XPhysicians
Radiology
OH35090995
N2085N0904XPhysicians
Radiology
OH35090995
N2085P0229XPhysicians
Radiology
OH35090995
N2085R0001XPhysicians
Radiology
OH35090995
N2085R0202XPhysicians
Radiology
OH35090995
N2085R0203XPhysicians
Radiology
OH35090995
Y2085R0204XPhysicians
Radiology
OH35090995
N2085U0001XPhysicians
Radiology
OH35090995
N2085D0003XPhysicians
Radiology
OH35090995
N2085H0002XPhysicians
Radiology
OH35090995

Other Provider Identifiers:

IssuerNumberStateType
WELLCARE465114OH01
CARESOURCE204881619259OH01
1025726440001PA05
RAILROAD MEDICAREP00648554OH01
2788381OH05



American Medical Association 2012 taxonomy code information

Code: 2085R0204X

Type:

Classification:



Definition:



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