Individual
DR. KEVIN NEPHI BAIZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
55-510 KAM HWY, SUITE 17, LAIE, HI 96762
(808) 293-9500
(808) 293-1890
Mailing address
55-510 KAM HWY, SUITE 17, LAIE, HI 96762-1138
(808) 293-9500
(808) 293-1890
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD364
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03407701
—
HI
01
—
122685
DESERET MUTUAL DMBA
HI
01
—
37630
HAWAII MEDICAL SERVICE AS
HI
Enumeration date
09/07/2006
Last updated
07/08/2007
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