Individual
DR. JON NAKAMURA NAKAMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4374 KUKUI GROVE ST, SUITE # 102, LIHUE, HI 96766-2007
(808) 246-6253
(808) 245-7215
Mailing address
4374 KUKUI GROVE ST, SUITE # 102, LIHUE, HI 96766-2007
(808) 246-6253
(808) 245-7215
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD6950
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00009
HMAA PIN
HI
01
—
00K094421
HMSA PIN
HI
05
—
07258801
—
HI
01
—
99033012096766A002
TRICARE PIN
HI
01
—
F59153
KAISER PIN
HI
Enumeration date
04/04/2007
Last updated
07/08/2007
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