Organization
C. KIMO CHAN, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. C. KIMO CHAN M.D. (CHILD & ADOLESCENT PSYCHIATRIST)
(808) 371-1311
Entity
Organization
Contact information
Practice address
46-271 HAIKU RD, KANEOHE, HI 96744-4144
(808) 235-4204
Mailing address
46-271 HAIKU RD, KANEOHE, HI 96744-4144
(808) 235-4204
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
11/23/2009
Last updated
11/23/2009
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