Individual
KENNETH MARK RIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75-169 HUALALAI RD STE 301, KAILUA KONA, HI 96740-3722
(808) 329-2114
Mailing address
67-1185 MAMALAHOA HWY UNIT D104, KAMUELA, HI 96743-8412
(612) 670-8798
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12450
HI
207R00000X
Internal Medicine Physician
32424
MN
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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