Individual
DR. DAMIEN KAPONO CHONG-HANSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4643 WAIMEA CANYON DRIVE, SUITE B, WAIMEA, HI 96796-1192
(808) 240-0140
Mailing address
PO BOX 487, WAIMEA, HI 96796-0487
(808) 240-0140
(808) 338-1606
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16530
HI
207Q00000X
Family Medicine Physician
MDR-5691
HI
Other
Enumeration date
05/28/2009
Last updated
02/16/2017
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