Individual
DR. RONALD MAX BURKHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2256A HOOKUI PLACE, KILAUEA, HI 96754-0480
(808) 828-1345
Mailing address
PO BOX 480, 2256-A HOOKUI PLACE, KILAUEA, HI 96754-0480
(808) 828-1345
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
01057638A
IN
208D00000X
General Practice Physician
Primary
3200
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03841101
—
HI
01
—
C42147
HMSA
HI
Enumeration date
03/27/2007
Last updated
07/08/2007
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