Individual
JON SIMON IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
411 HUKU LII PL STE 303, KIHEI, HI 96753-7062
(808) 877-7710
Mailing address
ATTN: LOCKBOX 5799, PO BOX 31000, HONOLULU, HI 96849-5799
(808) 877-7710
(808) 877-7480
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD20823
HI
Other
Enumeration date
07/19/2011
Last updated
02/12/2021
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