Organization
WINDWARD PEDIATRICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY KY YIM MD (PHYSICIAN)
(808) 247-6644
Entity
Organization
Contact information
Practice address
45-710 KAMEHAMEHA HWY, KANEOHE, HI 96744-2947
(808) 247-6644
(808) 235-2566
Mailing address
45-710 KAMEHAMEHA HWY, KANEOHE, HI 96744-2947
(808) 247-6644
(808) 235-2566
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD6927
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03752002
—
HI
Enumeration date
07/17/2006
Last updated
11/15/2007
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