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Organization

KENNEAL Y C CHUN MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GERMAINE LARIOZA (BILLER)
(808) 533-3368
Entity
Organization

Contact information

Practice address
1329 LUSITANA ST, SUITE 407, HONOLULU, HI 96813-2429
(808) 533-3368
(808) 536-4849
Mailing address
1329 LUSITANA ST, SUITE 407, HONOLULU, HI 96813-2429
(808) 533-3368
(808) 536-4849

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD3029
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03783903
HI
01
B41588
HMSA
HI
Enumeration date
04/18/2008
Last updated
04/22/2008
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