Individual
KENNETH J. BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 PENSACOLA ST, HONOLULU, HI 96814-2118
(808) 432-2000
Mailing address
1010 PENSACOLA ST, HONOLULU, HI 96814-2118
(808) 432-2000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD-6936
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000065268
HMSA BILLING NUMBER
HI
05
—
056770-02
—
HI
Enumeration date
09/21/2006
Last updated
10/10/2007
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