Individual
KELLY Y. KAWAOKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
94-1480 MOANIANI ST, WAIPAHU, HI 96797-4632
(808) 432-3100
Mailing address
94-1480 MOANIANI ST, WAIPAHU, HI 96797-4632
(808) 432-3100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A104863
CA
207R00000X
Internal Medicine Physician
Primary
MD-16710
HI
208000000X
Pediatrics Physician
A104863
CA
208000000X
Pediatrics Physician
MD-16710
HI
Other
Enumeration date
06/29/2007
Last updated
05/26/2021
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