Kevin T. Lie is a Vascular & Interventional Radiology Physician based in Augusta, GA and is specialized in Vascular & Interventional Radiology. Kevin T. Lie practices in Augusta, GA and has the professional credentials of MD. The NPI Number for Kevin T. Lie is 1659570455 and holds a License No. 35090995 (Georgia).
The current practice location address for Kevin T. Lie is 1348 Walton Way Ste 5700, Augusta, GA and can be reached out via phone at 706-774-7022 and via fax at 706-774-7023.
Location: 1348 Walton Way Ste 5700, Augusta, GA, 30903-1524
Provider Profile Details
NPI Number
1659570455
Provider Name
Kevin T. Lie
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1348 Walton Way Ste 5700, Augusta, GA, 30903-1524
Phone Number
706-774-7022
Fax Number
706-774-7023
Provider Enumeration Date
07/12/2007
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1025726440001 | 05 | PA | |
| 465114 | 01 | OH | WELLCARE |
| 204881619259 | 01 | OH | CARESOURCE |
| P00648554 | 01 | OH | RAILROAD MEDICARE |
| 2788381 | 05 | OH |
Provider Business Practice Location Address Details
Address
1348 Walton Way Ste 5700
City
State
Zip
30901-5110
Phone Number
706-774-7022
Fax Number
706-774-7023
Provider Business Mailing Address Details
Address
1348 Walton Way Ste 5700
City
State
Zip
30901-5110
Phone Number
706-774-7022
Fax Number
706-774-7023
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Nuclear Medicine
Speciality
Nuclear Cardiology
Taxonomy
License No.
35090995 (Ohio)
Definition
A nuclear medicine physician who specializes in nuclear cardiology.
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Nuclear Medicine
Speciality
Nuclear Imaging & Therapy
Taxonomy
License No.
35090995 (Ohio)
Definition
A nuclear medicine physician who specializes in nuclear imaging and therapy.
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Nuclear Medicine
Speciality
In Vivo & In Vitro Nuclear Medicine
Taxonomy
License No.
35090995 (Ohio)
Definition
A nuclear medicine physician who specializes in in vivo and in vitro nuclear medicine.
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
License No.
35090995 (Ohio)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
Provider's Taxonomy Details 5
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Neuroimaging
Taxonomy
License No.
35090995 (Ohio)
Definition
A licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging.
Provider's Taxonomy Details 6
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Hospice and Palliative Medicine
Taxonomy
License No.
35090995 (Ohio)
Definition
A radiologist with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Provider's Taxonomy Details 7
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
License No.
35090995 (Ohio)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
Provider's Taxonomy Details 8
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Nuclear Radiology
Taxonomy
License No.
35090995 (Ohio)
Definition
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
Provider's Taxonomy Details 9
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Pediatric Radiology
Taxonomy
License No.
35090995 (Ohio)
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
Provider's Taxonomy Details 10
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
License No.
35090995 (Ohio)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Provider's Taxonomy Details 11
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
35090995 (Ohio)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Provider's Taxonomy Details 12
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Therapeutic Radiology
Taxonomy
License No.
35090995 (Ohio)
Definition
Definition to come...
Provider's Taxonomy Details 13
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
License No.
35090995 (Ohio)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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