Individual
DR. KIMBERLEY M. I. WIRSING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
80 MAHALANI ST, WAILUKU, HI 96793-2531
(808) 243-6000
Mailing address
80 MAHALANI ST, WAILUKU, HI 96793-2531
(808) 243-6000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A85063
CA
207X00000X
Orthopaedic Surgery Physician
MD-14771
HI
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MD-14771
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000278713
HMSA BILLING NUMBER
HI
05
—
623042-02
—
HI
Enumeration date
04/13/2007
Last updated
05/17/2021
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