Look up the most recent NPI and PECOS records

Kevin Lee

Student in an Organized Health Care Education/Training Program

Student, Health Care

1303 E Herndon Ave, Fresno, CA 93720-3309

PECOS Enrollment

Based on the most recent information from CMS, provider Kevin Lee is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1174373443
Provider Type
Individual
Full Name
Lee, Kevin
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
3/27/2024
Last Updated
3/27/2024

Contact Information

Practice Location

1303 E Herndon Ave, Fresno, CA 93720-3309

(559) 450-3000

Unlisted Fax

Mailing Location

1303 E Herndon Ave, Fresno, CA 93720-3309

(559) 450-3000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Kevin Lee

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Nakai, Jaspreet Singh

Long, Amy Sue

Ly, Nathalie Yingya

Simon, Iulia Gabriela

Alamin, Amal

Naamani, Lana

Hadadianpour, Shiva

Shivaprasad, Anand Neil

Pakasri, Jheryssa Marie

Perry-Macneill, Chance