Individual
MARK TIMOTHY SENFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
75-5591 PALANI RD, SUITE #3006, KAILUA KONA, HI 96740-3631
(808) 331-8485
(808) 331-1333
Mailing address
75-5591 PALANI RD, SUITE #3006, KAILUA KONA, HI 96740-3631
(808) 331-8485
(808) 331-1333
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
PO-140
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HMSA
22042-6
HI
01
—
MEDICAID
49356001
HI
Enumeration date
09/24/2006
Last updated
07/09/2007
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