Individual
DR. KEVIN K. LUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
347 N KUAKINI ST, HONOLULU, HI 96817-2336
(808) 547-9593
(808) 599-2714
Mailing address
5563 HALEOLA ST, HONOLULU, HI 96821-2003
(808) 373-7054
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD 11228
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49629104
—
HI
01
—
C0225866
SHIELD/HMSA
HI
Enumeration date
06/27/2006
Last updated
07/08/2007
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