Individual
KEVIN WOOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1329 LUSITANA ST, SUITE 604, HONOLULU, HI 96813-2429
(808) 531-1116
(808) 524-7911
Mailing address
1329 LUSITANA ST, SUITE 604, HONOLULU, HI 96813-2429
(808) 531-1116
(808) 524-7911
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD-03378
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04564901
—
HI
Enumeration date
11/27/2007
Last updated
11/27/2007
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