Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | MD5827 | HI |
NPI | 1083790653 |
---|---|
Provider Name | Dr. Gayland D.k. Yee |
First Address | Kihei, HI 96753-8268 |
Second Address | Kihei, HI 96753-8268 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 06/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02413302 | (05) | HI |
C25598 | (02) | HI |
E02689-7 | HMSA (01) | HI |