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Individual

DR. KAYLIN K. YOUNG-DORSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
94-1480 MOANIANI ST, WAIPAHU, HI 96797-4632
(808) 432-3100
Mailing address
94-1480 MOANIANI ST, WAIPAHU, HI 96797-4632
(808) 432-3100

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD-632
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000255620
HMSA BILLING NUMBER
HI
05
575954-05
HI
Enumeration date
12/20/2006
Last updated
06/02/2021
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