Individual
DR. KENN SARUWATARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
98-151 PALI MOMI ST, SUITE 142, AIEA, HI 96701-4300
(808) 483-6400
(808) 483-6082
Mailing address
98-151 PALI MOMI ST, SUITE 142, AIEA, HI 96701-4300
(808) 483-6400
(808) 483-6082
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD-4882
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000019174
HMSA
HI
05
—
017841
—
HI
Enumeration date
10/10/2006
Last updated
09/23/2010
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