Individual
DR. HAKU KEVIN KAHOANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18144 SECO ST, MATHIESEN MEMORIAL HEALTH CLINIC, JAMESTOWN, CA 95327-9737
(209) 984-4824
Mailing address
201 HIGHLAND RIDGE DR, MANHATTAN, KS 66503-2428
(714) 916-5156
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
MD-14815
HI
207R00000X
Internal Medicine Physician
MD-14815
HI
208D00000X
General Practice Physician
Primary
MD-14815
HI
Other
Enumeration date
05/29/2007
Last updated
05/18/2015
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