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Individual

DR. KEVIN W KUICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
94-1480 MOANIANI ST, WAIPAHU, HI 96797-4632
(808) 432-3100
Mailing address
94-1480 MOANIANI ST, WAIPAHU, HI 96797-4632
(808) 432-3100

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301072165
MI
2084P0800X
Psychiatry Physician
C53296
CA
2084P0804X
Child & Adolescent Psychiatry Physician
4301072165
MI
2084P0804X
Child & Adolescent Psychiatry Physician
C53296
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD-18953
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
MI
Enumeration date
05/18/2006
Last updated
03/21/2022
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