DR. KYONG JIN LEE


Address: 1000 E Broad St, Richmond, VA 23219-1930
Phone: 8048282467

DR. KYONG JIN LEE (NPI# 1417426248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417426248
Entity Type Individual
Full Name DR. KYONG JIN LEE
Credential MD
Practice Address 1000 E Broad St
Richmond
VA 23219-1930
Mailing Address Po Box 91734
Richmond
VA 23291-1734
Practice Telephone 8048282467
Practice Fax Number 8048288517
Mailing Telephone 8043586100
Mailing Fax Number 8043427619
Enumeration Date 2018-11-22
Last Update Date 2019-03-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
0101265554 VA Allopathic & Osteopathic Physicians
N 2080A0000X Pediatrics
Specialization: Adolescent Medicine
0101265554 VA Allopathic & Osteopathic Physicians
Y 2080P0202X Pediatrics
Specialization: Pediatric Cardiology
0101265554 VA Allopathic & Osteopathic Physicians
N 207RA0002X 0101265554 VA
N 207RA0001X Internal Medicine
Specialization: Advanced Heart Failure and Transplant Cardiology
0101265554 VA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1250 E Marshall St, Richmond, VA 232985051 8048282467 8048288517

Office Location

Street Address 1000 E BROAD ST
City RICHMOND
State VA
Zip Code 23219-1930

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891305884 Alyssa Regula Dietitian, Registered 1000 E Broad St, Richmond, VA 23219-1930 2020-08-04
1932722667 Jaimie Mary Parambil Student in an Organized Health Care Education/Training Program 1000 E Broad St, Richmond, VA 23219-1930 2020-05-28
1396368130 Samuel Jonathan Pouncey Student in an Organized Health Care Education/Training Program 1000 E Broad St, Richmond, VA 23219-1930 2020-05-27
1396368155 Christopher Ferrante Student in an Organized Health Care Education/Training Program 1000 E Broad St, Richmond, VA 23219-1930 2020-05-27
1780221226 Erica Michelle Mitchell Nurse Practitioner 1000 E Broad St, Richmond, VA 23219-1930 2019-12-03
1295376135 Christina N. Murphy Psychologist 1000 E Broad St, Richmond, VA 23219-1930 2019-10-02
1003377805 Jessica Hallam Registered Nurse 1000 E Broad St, Richmond, VA 23219-1930 2019-03-26
1386121416 Lisa Lynn Rettig Nurse Practitioner 1000 E Broad St, Richmond, VA 23219-1930 2018-07-21
1760973382 Brook Vanbuesking Social Worker 1000 E Broad St, Richmond, VA 23219-1930 2018-05-21
1033609631 Shelby Fogleman Social Worker 1000 E Broad St, Richmond, VA 23219-1930 2018-05-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306337910 Patricia Young Flynn Psychologist Richmond Public Schools, Dept. of Exceptional Education, 301 N. Ninth Street, Richmond, VA 23219 2018-05-21
1558859173 Marie Rhodes-dawson Psychologist 301 North Ninth Street, Richmond, VA 23219 2018-04-30
1639674369 Kelly Schmid Mccrowell Psychologist 301 N. 9th Street, Psychological Services/exceptional Education, Richmond, VA 23219 2018-03-26
1104321033 Veronica Leigh Wiles Occupational Therapist 301 North 9th Street, Exceptional Education, Richmond, VA 23219 2018-03-23
1780103234 Brandy Lakesha Rushing Counselor 107 S. 5th Street, Richmond, VA 23219 2017-09-15
1134676679 Richa Chibbar Student in an Organized Health Care Education/Training Program 230 N 6th St, Unit 204, Richmond, VA 23219 2016-09-01
1578974788 Kinlee Stewart Counselor 409 E. Main St, #204, Richmond, VA 23219 2014-05-12
1760814941 Ivey Contacting Service,inc Day Training, Developmentally Disabled Services 501 East Frnklin St Stu 724, Richmond, VA 23219 2013-07-30
1154665883 Ashley Hoover Rhoades Nurse Practitioner 701 East Byrd Street, Diamond Health Group, Richmond, VA 23219 2012-11-19
1932461852 New Legacy Youth Services, LLC Community/Behavioral Health 904 North 1st Street, Richmond, VA 23219 2012-06-15
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Taxonomy Information

Taxonomy Code 2080P0202X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Cardiology

Taxonomy Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710216734 Richard Merrill Schieken Pediatrics 422 September Dr, Richmond, VA 23229-7318 2009-12-22
1558747592 Pediatric Cardiology of Central Virginia PC Pediatrics 7603 Forest Ave, Suite 401, Richmond, VA 23229-4942 2015-07-31
1720498850 Megan Christine Dibble Sirota Pediatrics 1250 E Marshall St, Box 980264, Richmond, VA 23298-5051 2014-04-28
1467689547 Uyen T Truong Pediatrics 1000 E Broad St, Richmond, VA 23219-1930 2009-06-16
1679734818 Kerri Anne Carter Pediatrics 1250 E Marshall St, Pediatrics, Richmond, VA 23298-5051 2008-06-20
1336341239 Andrew Seung-eun Kim Pediatrics 5875 Bremo Rd Ste 500, Richmond, VA 23226-1928 2007-06-03
1740317411 Joanna Beth Rosenthal Pediatrics 1000 E Broad St, Richmond, VA 23219-1930 2007-02-28
1326142753 Scott D Gullquist Pediatrics 1250 E Marshall Street, Pediatrics, Richmond, VA 23298-0646 2006-09-07
1629010541 Gerald T. Albrecht Jr. Pediatrics 5875 Bremo Rd, Ste 500, Richmond, VA 23226-1934 2006-06-12
1114966553 Bradford R. Mcquilkin Pediatrics 1250 E Marshall St, Dept. of Pediatrics/pediatric Cardiology, Richmond, VA 23298-5051 2006-06-04
Find all providers in RICHMOND

Competitor

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City RICHMOND
Zip Code 23219

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Dataset Information

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.

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