Individual
DR. KENNETH C.M. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
98-151 PALI MOMI ST, SUITE 142, AIEA, HI 96701-4300
(808) 483-6400
(808) 483-6489
Mailing address
98-151 PALI MOMI ST, SUITE 142, AIEA, HI 96701-4300
(808) 483-6400
(808) 483-6489
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD-9120
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C0206015
HMSA
HI
05
—
077714
—
HI
01
—
8816444
UHA
HI
Enumeration date
10/19/2006
Last updated
10/08/2010
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