Healthcare Provider Details

I. General information

NPI: 1669393971
Provider Name (Legal Business Name): TIMOTHY YEE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6700 KALANIANAOLE HWY STE 122
HONOLULU HI
96825-1278
US

IV. Provider business mailing address

6700 KALANIANAOLE HWY STE 122
HONOLULU HI
96825-1278
US

V. Phone/Fax

Practice location:
  • Phone: 808-838-9470
  • Fax:
Mailing address:
  • Phone: 808-838-9470
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2471B0102X
TaxonomyBone Densitometry Radiologic Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: