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Individual

DR. KRISTIN KAWAILOA FERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1319 PUNAHOU ST, HONOLULU, HI 96826-1001
(808) 983-6000
(808) 983-6109
Mailing address
PO BOX 701446, KAPOLEI, HI 96709-1446
(808) 206-4333

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD-13976
HI
208000000X
Pediatrics Physician
Primary
MD-13976
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000269027
HMSA PIN FOR KMCWC
HI
01
00A0269025
HMSA PIN FOR KMS
HI
01
0933136
UHA PIN FOR KMCWC
HI
01
0933137
UHA PIN FOR KMS
HI
01
59930001
MEDICAID PIN FOR KMS
HI
01
59930002
MEDICAID PIN FOR KMCWC
HI
01
H102846
MEDICARE PIN FOR KMS
HI
01
H102847
MEDICARE PIN FOR KMCWC
HI
Enumeration date
05/02/2007
Last updated
12/17/2008
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