Individual
KEVIN C WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1285 WAIANUENUE AVE, HILO, HI 96720-1227
(808) 933-0625
(808) 974-6864
Mailing address
PO BOX 1120, HONOLULU, HI 96807-1120
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD10507
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256079
—
HI
Enumeration date
08/04/2006
Last updated
10/26/2007
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