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Organization

DAVID A KUCHENBECKER MD, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID A KUCHENBECKER MD (PRESIDENT)
(808) 261-4884
Entity
Organization

Contact information

Practice address
30 AULIKE ST STE 602, KAILUA, HI 96734-2752
(808) 261-4884
(808) 261-4885
Mailing address
PO BOX 1091, KAILUA, HI 96734-1091
(808) 261-4884
(808) 261-4885

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06016902
HI
01
E079946
HMSA
HI
01
MD7248-01
QUEENS HEALTHCARE
HI
Enumeration date
09/30/2010
Last updated
12/09/2010
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