Individual
DR. KIMBERLY KAY LUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
970 N KALAHEO AVE, SUITE C306, KAILUA, HI 96734-1866
(808) 263-7383
(808) 237-5828
Mailing address
207 LANIPO DR, KAILUA, HI 96734-3231
(808) 263-1922
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DOS-856
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000254441
HMSA
HI
05
—
56992301
—
HI
01
—
CH315A
MEDICARE PTAN
HI
Enumeration date
04/17/2007
Last updated
08/23/2010
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