Individual
KEVIN KIYOSHI KUROHARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 PUUHONU PLACE, SUITE 205, HILO, HI 96720
(808) 969-3814
(808) 934-7496
Mailing address
75 PUUHONU PLACE, SUITE 205, HILO, HI 96720
(808) 969-3814
(808) 934-7496
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5812
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02384701
—
HI
01
—
E26533
HMSA
HI
Enumeration date
05/25/2006
Last updated
08/25/2010
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