DR. KENNETH K.H. LEE (NPI# 1629076427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629076427 |
| Entity Type | Individual |
| Full Name | DR. KENNETH K.H. LEE |
| Credential | M.D. |
| Practice Address |
405 N Kuakini St Suite 1004 Honolulu HI 96817-6300 |
| Practice Telephone | 8085857995 |
| Practice Fax Number | 8085857990 |
| Mailing Telephone | 8085857995 |
| Mailing Fax Number | 8085857990 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2011-12-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 2968 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | TRICARE WEST | 99-0189219 | 01 |
| HI | HMSA | C4184-2 | 01 |
| HI | HMSA-QUEST | 00C004184-2 | 01 |
| HI | 038114-01 | 05 | |
| HI | PREFERRED CARE | 146911XX | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376010694 | Kenneth Brian Lee | Student in an Organized Health Care Education/Training Program | 12603 Hogans Aly, Chester, VA 23836-8600 | 2018-10-24 |
| 1730660531 | Kenneth Lee | Physical Therapist | 13178 Sw 30th St, Miramar, FL 33027-3838 | 2018-08-28 |
| 1184067852 | Kenneth Lee | Student in an Organized Health Care Education/Training Program | 331 Hawk Ridge Dr, Richmond, CA 94806-5819 | 2013-04-12 |
| 1003076670 | Kenneth Ray Lee | Non-emergency Medical Transport (VAN) | 3285 Highway 1045, Amite, LA 70422-7239 | 2008-06-16 |
| 1609034446 | Kenneth V Lee | Dentist | 13352 Lincoln Way, Auburn, CA 95603-3226 | 2008-05-29 |
| 1316013543 | Kenneth Alvin Lee | Social Worker | 315 Corbett Ave, San Francisco, CA 94114-1884 | 2006-11-28 |
| 1275604928 | Kenneth N Lee | Dentist | 422 Forest Ave, Paramus, NJ 07652-5519 | 2006-11-13 |
| 1912929548 | Kenneth K. Lee | Dentist | 50 Route 17k Ste 104, Newburgh, NY 12550-3974 | 2006-07-24 |
| 1902845225 | Kenneth W Lee | Chiropractor | 1475 E Oakton St, Suite 4, Des Plaines, IL 60018-2166 | 2006-06-05 |
| 1811947807 | Kenneth M Lee | Chiropractor | 5935 E Spring St, Long Beach, CA 90808-3752 | 2006-05-11 |
| Street Address |
405 N KUAKINI ST SUITE 1004 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96817-6300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033661939 | Robb T. Shibayama, O.d., Inc. | Optometrist | 405 N Kuakini St, #605, Honolulu, HI 96817-6300 | 2016-10-27 |
| 1992182570 | Christina Viggiano Marzo | Family Medicine | 405 N Kuakini St, Honolulu, HI 96817 | 2015-05-02 |
| 1609116904 | Godofredo B. Baclig, M.d. Inc. | Clinic/Center | 405 N Kuakini St, Suite 1112, Honolulu, HI 96817-6300 | 2013-02-22 |
| 1598024630 | Internal Medicine Honolulu LLC | Internal Medicine | 405 N Kuakini St, Suite 1011, Honolulu, HI 96817-6300 | 2012-05-10 |
| 1376817239 | Matthew S. Adaniya Md, Inc. | Clinic/Center | 405 N Kuakini St, Suite 704, Honolulu, HI 96817-6300 | 2012-02-23 |
| 1275822066 | Amy Lumeng, M.d., Inc. | Pediatrics | 405 N Kuakini St, Suite 1103, Honolulu, HI 96817-6300 | 2011-04-01 |
| 1699072033 | Claudine Kimura, Md, Inc | Internal Medicine | 405 N Kuakini St, #1103, Honolulu, HI 96817-6300 | 2011-02-22 |
| 1922242809 | Carl Joseph Tadaki | Surgery | 405 N Kuakini St, Suite 601, Honolulu, HI 96817-6300 | 2009-04-23 |
| 1245417179 | Lance Michael Kurata, Md, Inc. | Clinic/Center | 405 N Kuakini St, Suite 901, Honolulu, HI 96817-6300 | 2008-01-22 |
| 1659552925 | Raine Gay Fukuda | Urology | 405 N Kuakini St, Suite 1103, Honolulu, HI 96817-6300 | 2007-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942810676 | Tracey Lorraine Ramelb Mayola | Nurse's Aide | 36 Bates St., Unit A1, Honolulu, HI 96817 | 2020-08-06 |
| 1710503032 | Ray & Cee Inc | Counselor | Heavenly Counsel, 985 Dillingham Blvd Suite 100, Honolulu, HI 96817 | 2020-06-23 |
| 1982238093 | Healthy Mothers Healthy Babies Coalition of Hawaii | Public Health or Welfare | 245 N Kukui St #102a, Kukui Center, Honolulu, HI 96817 | 2020-02-27 |
| 1770042160 | Garza Wellness Care Center, LLC | Chiropractor | 1744 Liliha St. Suite #201, Honolulu, HI 96817 | 2019-03-15 |
| 1932688165 | Behavior Analysis and Family Therapy Center of Hawaii | Marriage & Family Therapist | 200 North Vineyard Blvd, Suite B 270, Honolulu, HI 96817 | 2018-08-08 |
| 1013409382 | Marleina Dee Capua | Behavior Technician | 200 N Vineyard Blvd # A600, Honolulu, HI 96817 | 2018-06-03 |
| 1811496623 | Kimberly Jee Ying Wun | Nurse Practitioner | 860 Iwilei Road, Honolulu, HI 96817 | 2018-02-07 |
| 1144737925 | Cancer Center of Hawaii, LLC | Radiology | 2226 Liliha St, #b2, Honolulu, HI 96817 | 2018-01-03 |
| 1700315355 | Thomas Bishop | Behavioral Analyst | 200 N. Vineyard Blvd. Suite #153, Honolulu, HI 96817 | 2017-06-07 |
| 1760843890 | Kanna Dokgo | Nurse Practitioner | 321 Kuakini St., Honolulu, HI 96817 | 2016-03-17 |
| Find all providers in zip 96817 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770180010 | Carehalo West LLC | Internal Medicine | 4348 Waialae Ave # 701, Honolulu, HI 96816-5767 | 2020-10-08 |
| 1255983177 | Jehdeiah B Lewis | Internal Medicine | 1542 Wilhelmina Rise, Honolulu, HI 96816-7303 | 2019-07-11 |
| 1104481423 | Hayk Ghukasyan | Internal Medicine | 1356 Lusitana St # 705, Honolulu, HI 96813-2409 | 2019-05-02 |
| 1083180947 | Adrienne Wing Md | Internal Medicine | 1329 Lusiotana St, #507, Honolulu, HI 96813 | 2018-10-18 |
| 1538699079 | William Han Bae | Internal Medicine | 2828 Paa St # 3d04, Honolulu, HI 96819-4430 | 2017-06-18 |
| 1912351909 | Kathleen Min | Internal Medicine | 1380 Lusitana St Ste 515, Honolulu, HI 96813-2441 | 2016-04-16 |
| 1730542184 | Lauren Oshima | Internal Medicine | 1329 Lusitana St Ste 503, Honolulu, HI 96813-2412 | 2016-04-02 |
| 1326401274 | Randi Olds | Internal Medicine | 550 S Beretania St Fl 5, Honolulu, HI 96813-2414 | 2016-03-29 |
| 1154751535 | Irene S.k. Yamamoto, M.d. Inc | Internal Medicine | 1481 S. King Street, Ste 343, Honolulu, HI 96814 | 2013-11-20 |
| 1841625019 | Wayne Y.h. Lum M.d. Inc. | Internal Medicine | 2228 Liliha St Ste 302, Honolulu, HI 96817-1653 | 2013-09-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.