Individual
KATHERINE S. HEINZEN JIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
407 ULUNIU ST, 4TH FLOOR, KAILUA, HI 96734-2519
(808) 261-3326
(808) 263-4604
Mailing address
PO BOX 1266, KAILUA, HI 96734-1266
(808) 261-3326
(808) 263-4604
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD - 13731
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000259358
HMSA
HI
05
—
579518
—
HI
Enumeration date
06/16/2006
Last updated
07/08/2007
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