Individual
RUSSELL KENNETH ADWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1190 WAIANUENUE AVE, HILO, HI 96720-2094
(808) 932-3000
Mailing address
1190 WAIANUENUE AVE, HILO, HI 96720-2094
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD-24358-0
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/09/2021
Last updated
07/26/2024
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