MEDICARE: KYONG YI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	ACU282	HI

General Provider Information

NPI Number	:	1255471348
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KYONG YI

Provider Business Mailing Address
First Line	:	1600 KAPIOLANI BLVD
Second Line	:	1340
City	:	HONOLULU
State	:	HI
Zip	:	96814-3801
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 KAPIOLANI BLVD
Second Line	:	1340
City	:	HONOLULU
State	:	HI
Zip	:	96814-3801
Country	:	US
Telephone Number	:	808-946-9911
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	07/08/2007

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Directions to “ KYONG YI ” Practice Location

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