Individual
DR. KEN NAGAHIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
105
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000058735
HMSA QUEST
HI
05
—
05135801
—
HI
01
—
5873-5
HMSA
HI
Enumeration date
05/16/2006
Last updated
12/17/2008
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