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Organization

TYRIE LEE JENKINS, M.D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TYRIE LEE JENKINS M.D. (PRESIDENT)
(808) 591-9911
Entity
Organization

Contact information

Practice address
615 PIIKOI ST, SUITE 205, HONOLULU, HI 96814-3116
(808) 591-9911
(808) 591-9909
Mailing address
615 PIIKOI ST, SUITE 205, HONOLULU, HI 96814-3116
(808) 591-9911
(808) 591-9909

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD5046
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
056891-01
HI
Enumeration date
04/20/2006
Last updated
08/26/2025
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