Healthcare Provider Details

I. General information

NPI: 1619073657
Provider Name (Legal Business Name): AILEEN M K YEE MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 03/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1907 S BERETANIA ST STE 110
HONOLULU HI
96826-1301
US

IV. Provider business mailing address

820 MILILANI ST STE 702A
HONOLULU HI
96813-2937
US

V. Phone/Fax

Practice location:
  • Phone: 808-955-8660
  • Fax: 808-955-8505
Mailing address:
  • Phone: 808-523-9363
  • Fax: 808-523-9418

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD11021
License Number StateHI

VIII. Authorized Official

Name: AILEEN M K YEE
Title or Position: MD
Credential: MD
Phone: 808-955-8660