Individual
MR. KENTARO HANAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
94-294 ANANIA DR, MILILANI, HI 96789-2525
(308) 627-1593
Mailing address
1520 ENOS LN APT A, HONOLULU, HI 96822-4514
(308) 627-1593
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
AT-303
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/13/2015
Last updated
07/21/2022
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