DR. KISUN LEE (NPI# 1033328695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033328695 |
| Entity Type | Individual |
| Full Name | DR. KISUN LEE |
| Credential | D.O. |
| Practice Address |
1902a Maryland Avenue Wilmington DE 19805-2421 |
| Mailing Address |
436 Lake George Cir West Chester PA 19382-2192 |
| Practice Telephone | 3026557108 |
| Mailing Telephone | 8085511357 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2009-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
C2-0008664 | DE | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
DOS 1107 | HI | Allopathic & Osteopathic Physicians |
| Street Address |
1902A MARYLAND AVENUE |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19805-2421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457670523 | Tiea Thornton | Counselor | 1902a Maryland Avenue, Wilmington, DE 19805 | 2010-05-27 |
| 1184947632 | Michelle Linette Gordon-akinola | Social Worker | 1902a Maryland Avenue, Wilmington, DE 19805 | 2010-03-11 |
| 1376865618 | Christopher Stoudemire | Social Worker | 1902a Maryland Avenue, Wilmington, DE 19805-4605 | 2010-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043854359 | Balanced Life Counseling, LLC | Social Worker | 1621 Howland Street, Wilmington, DE 19805 | 2019-10-30 |
| 1376050468 | Chelsey Bayles | Counselor | 3700 Lancaster Pike, Suite 305, Wilmington, DE 19805 | 2018-01-10 |
| 1629594098 | Laura Sullivan-holland | Registered Nurse | 2713 Lancaster Avenue, Wilmington, DE 19805 | 2017-08-17 |
| 1013362151 | Arthur Andrew Dermen | Student in an Organized Health Care Education/Training Program | 701 North Clayton St, St Francis Hospital - Dept of Family Medicine, Wilmington, DE 19805 | 2016-04-26 |
| 1689031262 | Ivps of Delaware | Specialist | 1305 Kirkwood Highway, Wilmington, DE 19805 | 2016-01-27 |
| 1043689110 | Vitality Chiropractic and Rehabilitation Center | Chiropractor | 807 N Union Street, Wilmington, DE 19805 | 2015-09-18 |
| 1508259425 | Karlou Michael Cartwright | Nurse Practitioner | 1100 South Broom St, Wilmington, DE 19805 | 2015-03-17 |
| 1629494737 | Jennie Strickler | Registered Nurse | 1902 A Maryland Ave., Wilmington, DE 19805 | 2014-03-13 |
| 1487912119 | Jamie Johnson Gellock | Family Medicine | 1802 W 4th Street, Wilmington, DE 19805 | 2012-05-01 |
| 1992089007 | Abigail Triemstra | Speech-Language Pathologist | 1502 Spruce Avenue, Wilmington, DE 19805 | 2011-10-07 |
| Find all providers in zip 19805 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477060333 | Womens Health Wilmington Psychiatric Medicine Pllc | Psychiatry & Neurology | 2214 Wrightsville Ave Ste D, Wilmington, NC 28403-2487 | 2018-01-01 |
| 1255861308 | Natures Way Medicine | Psychiatry & Neurology | 1224 N King St, Wilmington, DE 19801-3232 | 2017-06-12 |
| 1437698586 | Whidbey Island Public Hospital District | Psychiatry & Neurology | 136 Odyssey Dr, Wilmington, DE 19808-1557 | 2017-02-21 |
| 1649720889 | Haven Ministries, Inc. | Psychiatry & Neurology | 7212 Oyster Ln, Wilmington, NC 28411-7132 | 2016-10-12 |
| 1326477621 | Linda D. Francis, Mdpc | Psychiatry & Neurology | 1515 Medical Center Dr, Wilmington, NC 28401-7507 | 2013-11-06 |
| 1649557588 | Robert Nicholas Spinelli | Psychiatry & Neurology | 1100 Arundel Dr, Wilmington, DE 19808-2135 | 2011-11-07 |
| 1285948620 | Haven Ministries, Inc. | Psychiatry & Neurology | 3725 Wrightsville Ave Ste B, Wilmington, NC 28403-4140 | 2010-07-27 |
| 1396911640 | Jolomi T Ikomi | Psychiatry & Neurology | 501 W 14th St Ste 3n74, Wilmington, DE 19801-1013 | 2008-05-07 |
| 1437324753 | Chandrakala Kathiravan | Psychiatry & Neurology | 1902a Maryland Ave, Wilmington, DE 19805-4605 | 2008-04-28 |
| 1376735522 | Katharine Lopez Weymouth | Psychiatry & Neurology | 5800 Kennett Pike, Suite Four, Wilmington, DE 19807-1116 | 2007-08-13 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19805 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.