Organization
KY LE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KY LE MD (OWNER)
(808) 345-8996
Entity
Organization
Contact information
Practice address
98-1079 MOANALUA RD, AIEA, HI 96701-4713
(808) 536-0300
Mailing address
95-1092 PAEMOKU PL, MILILANI, HI 96789-6524
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/05/2021
Last updated
04/21/2021
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