Individual
DR. JANNA M KUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1380 LUSITANA ST, STE 714, HONOLULU, HI 96813-2443
(808) 528-5333
(808) 545-7236
Mailing address
1380 LUSITANA ST, STE 714, HONOLULU, HI 96813-2443
(808) 528-5333
(808) 486-2694
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD335
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GE342Z
MEDICARE PTAN
HI
01
—
HEENDO
MEDICARE GROUP PTAN
HI
Enumeration date
07/25/2007
Last updated
03/01/2017
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