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Individual

DR. KENNETH T KAAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1329 LUSITANA ST, #206, HONOLULU, HI 96813-2429
(808) 533-3393
(808) 533-1448
Mailing address
1329 LUSITANA ST, #206, HONOLULU, HI 96813-2429
(808) 533-3393
(808) 533-1448

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD4194
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02329701
HI
01
201436300
OWCP
HI
01
A025856
HMSA
HI
Enumeration date
11/15/2006
Last updated
08/05/2010
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