Individual
KEVIN WAYNE DIEFFENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
98-1247 KAAHUMANU ST, SUITE 109, AIEA, HI 96701-5311
(808) 678-1955
(808) 678-1081
Mailing address
98-1247 KAAHUMANU ST, SUITE 109, AIEA, HI 96701-5311
(808) 678-1955
(808) 678-1081
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
8242
HI
Other
Enumeration date
10/04/2006
Last updated
01/29/2014
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