Organization
MAKANA NORTH SHORE DERMATOLOGY
Active
Organization
MAKANA NORTH SHORE DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD KIMBALL MD (SOLE MBR)
(801) 910-1963
Entity
Organization
Contact information
Practice address
4488 HANALEI PLANTATION RD, PRINCEVILLE, HI 96722-5462
(808) 320-7300
Mailing address
4488 HANALEI PLANTATION RD, PRINCEVILLE, HI 96722-5462
(808) 320-7300
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
06/02/2025
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