Individual
MR. KEVIN T MCGILL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CO, BOC
Contact information
Practice address
45-3290 OHIA ST, SUITE 2, HONOKAA, HI 96727-6931
(808) 775-0814
(808) 775-0645
Mailing address
PO BOX 1156, HONOKAA, HI 96727-1156
(808) 775-0814
(808) 775-0645
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
W05946726
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000218529
HMSA QUEST
HI
01
—
218529
HMSA
HI
05
—
49582101
—
HI
Enumeration date
05/19/2006
Last updated
07/08/2007
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