Individual
DR. MARK KIMBRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
328 ULUNIU ST, SUITE 103, KAILUA, HI 96734-2547
(808) 263-3020
(808) 263-3723
Mailing address
328 ULUNIU ST, SUITE 103, KAILUA, HI 96734-2547
(808) 263-3020
(808) 263-3723
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD-5448
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059806-01
—
HI
Enumeration date
03/09/2006
Last updated
05/05/2011
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