Individual provider · NPI-1

Benjamin Kyung Lee, M.D.

Family Medicine · Jbphh, HI

NPI number1881776300
StatusActive
Last updated in NPPESApr 12, 2022

Details

NPI
1881776300
Entity type
Individual (NPI-1)
Name
Benjamin Kyung Lee
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 20, 2006
Certification date
Mar 29, 2022
Last updated
Apr 12, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine01042886AINYes

Practice location

480 Central Ave
Jbphh, HI 96860-4908

Phone 808-473-1880

Mailing address

Naval Health Clinic Hawaii
480 Central Avenue
Jbphh, HI 96860-4908

Phone 808-447-3188

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