Individual
MR. KEVIN O ROURKE CHING
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
863 HALEKAUWILA ST, HONOLULU, HI 96813-5317
(808) 597-1555
(808) 597-1596
Mailing address
PO BOX 11973, HONOLULU, HI 96828-0973
(808) 597-1555
(808) 597-1596
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT2404
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
554213-01
—
HI
01
—
PT2404
STATE LIS NUMBER
HI
Enumeration date
06/12/2006
Last updated
07/08/2007
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