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Individual

DR. KEVIN DANIEL LYE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
55 S KUKUI ST, SUITE 2907, HONOLULU, HI 96813-2310
(505) 225-3802
Mailing address
55 S KUKUI ST, SUITE 2907, HONOLULU, HI 96813-2310

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MDR 4837
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MDR 4837
HI STATE MEDICAL LICENSE
HI
Enumeration date
06/29/2007
Last updated
11/02/2022
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