Healthcare Provider Details

I. General information

NPI: 1558453944
Provider Name (Legal Business Name): HENRY K. YEE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 09/27/2023
Certification Date: 09/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 S MAIN ST STE A
COUPEVILLE WA
98239-3635
US

IV. Provider business mailing address

4348 WAIALAE AVE
HONOLULU HI
96816-5767
US

V. Phone/Fax

Practice location:
  • Phone: 360-240-4013
  • Fax: 360-678-5161
Mailing address:
  • Phone: 808-262-6260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD-4727
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD00017445
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: