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Individual

KRISHNA KUMAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4100 ONI PL, KALAHEO, HI 96741-9568
(808) 332-8433
Mailing address
4100 ONI PL, KALAHEO, HI 96741-9568
(808) 332-8433

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2573
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03518802
HI
01
99-225582
FEDERAL ID
01
A38875
FOR HMSA
HI
Enumeration date
02/22/2007
Last updated
07/08/2007
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