Kyle Kyoungroh Lee

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639879943

Kyle Kyoungroh Lee is a Student in an Organized Health Care Education/Training Program in Deep River, Connecticut. Practices as a sole proprietor and works from 2 locations. Licensed in Connecticut.

Licensed in: CT
In the registry since: 2023
Specialties on file: 2

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Deep River, CT

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Additional practice locations (1)

725 E Main St, Meriden, CT 06450-6005 — (203) 235-4930

Specialties & licences

General Practice Dentistry (primary)	Taxonomy 1223G0001X · Licence 14130 (CT)
Student in an Organized Health Care Education/Training Program	Taxonomy 390200000X

Record details

NPI number	1639879943
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	March 6, 2023
Last updated in NPPES	September 13, 2024
Certification date	September 13, 2024

Other providers in Deep River

Corrine Lake Sieser

Individual Student in an Organized Health Care Education/Training Program · NPI 1437697042

Student / training record Deep River, CT