Provider Demographics
NPI:1245406958
Name:HONG, LEENA KIT NGEE (PA)
Entity Type:Individual
Prefix:MS
First Name:LEENA
Middle Name:KIT NGEE
Last Name:HONG
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MS
Other - First Name:LEENA
Other - Middle Name:KIT NGEE
Other - Last Name:HONG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA
Mailing Address - Street 1:3030 PUALEI CIR
Mailing Address - Street 2:#206
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-4947
Mailing Address - Country:US
Mailing Address - Phone:917-544-9916
Mailing Address - Fax:
Practice Address - Street 1:3030 PUALEI CIR
Practice Address - Street 2:#206
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-4947
Practice Address - Country:US
Practice Address - Phone:917-544-9916
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-02
Last Update Date:2011-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAMD-358363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical