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Individual

DR. KENNETH ALAN HIRSCH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
NAVAL HEALTH CLINIC PEARL HARBOR, PEARL HARBOR, HI 96860
(808) 473-1880
(808) 473-2144
Mailing address
2180 HALAKAU ST, HONOLULU, HI 96821-2604
(808) 473-1880
(808) 473-2144

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G75716
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G75716
MEDICAL LICENSE
CA
Enumeration date
07/08/2005
Last updated
07/08/2007
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