Provider Demographics
NPI:1558453944
Name:YEE, HENRY K (MD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:K
Last Name:YEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4348 WAIALAE AVE
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-5767
Mailing Address - Country:US
Mailing Address - Phone:808-262-6260
Mailing Address - Fax:
Practice Address - Street 1:205 S MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:COUPEVILLE
Practice Address - State:WA
Practice Address - Zip Code:98239-3635
Practice Address - Country:US
Practice Address - Phone:360-240-4013
Practice Address - Fax:360-678-5161
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-4727207X00000X
WAMD00017445207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI013441-01Medicaid
HI0000014332OtherHMSA BILLING NUMBER
HIH0000BDKQCMedicare PIN
HI013441-01Medicaid