Individual
TIMOTHY D. S. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
94-1480 MOANIANI ST, WAIPAHU, HI 96797-4632
(808) 432-3100
Mailing address
94-1480 MOANIANI ST, WAIPAHU, HI 96797-4632
(808) 432-3100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD-9699
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000213728
HMSA BILLING NUMBER
HI
05
—
08747101
—
HI
Enumeration date
07/31/2006
Last updated
05/07/2021
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