Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth Brian Lee

Individual provider Physician Assistant · NPI 1376010694

Kenneth Brian Lee is a Physician Assistant in Daytona Beach, Florida. Qualified in 2018, 8 years ago. Practices with MD Now Medical Centers Inc, a 316-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2018

Practice location Address checks out

260 Birkdale Dr
Daytona Beach, FL 32124-2050
Phone: (804) 896-5091
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9112062 (FL)

Record details

NPI number1376010694
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 24, 2018
Last updated in NPPESJuly 14, 2022
Certification dateJune 29, 2022
Mailing address12603 Hogans Aly, Chester, VA 23836-8600

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Md Now Medical Centers Inc — 316 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

Other providers in Daytona Beach