# KAPOLEI FAMILY MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275605743
- **Authorized official:** DR. JONATHAN KIM M.D. (VICE PRESIDENT)
- **Authorized official phone:** (808) 674-2930

## Contact information

- **Practice address:** 590 FARRINGTON HWY, SUITE 526A, KAPOLEI, HI 96707-2009
- **Practice address phone:** (808) 674-2930
- **Mailing address:** 590 FARRINGTON HWY, SUITE 526A, KAPOLEI, HI 96707-2009
- **Mailing address phone:** (808) 674-2930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD12184 | HI | Yes |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 04/04/2011