Healthcare Provider Details

I. General information

NPI: 1285639310
Provider Name (Legal Business Name): KIM HONT ARAMBURO YEE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 01/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 DILLON DR
SPARTANBURG SC
29307-1018
US

IV. Provider business mailing address

1 INDEPENDENCE PT STE 212
GREENVILLE SC
29615-4536
US

V. Phone/Fax

Practice location:
  • Phone: 864-699-5700
  • Fax: 864-699-5701
Mailing address:
  • Phone: 864-797-6303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number21881
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: