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

Kenneth Lee

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255064614

Kenneth Lee is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2022
Specialties on file
2

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.

Chicago, IL

Additional practice locations (1)

  • 3057 W Cermak Rd, Chicago, IL 60623-3548 — (773) 257-0200

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019.033918 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (IL)

Record details

NPI number1255064614
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 5, 2022
Last updated in NPPESAugust 24, 2023
Certification dateAugust 24, 2023

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