Individual
KEVIN CARPENTER BURNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1360 S BERETANIA ST, HONOLULU, HI 96814-1520
(808) 532-3711
(808) 532-3713
Mailing address
55 AWAKEA LOOP, MAKAWAO, HI 96768-8876
(808) 572-2057
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD13654
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000259309
HMSA
HI
01
—
00A0259307
HMSA BILLING NUMBER
HI
05
—
580812-04
—
HI
Enumeration date
06/28/2006
Last updated
09/30/2008
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