Healthcare Provider Details
I. General information
NPI: 1285913632
Provider Name (Legal Business Name): BRANDON JOHN KAI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/16/2011
Last Update Date: 06/21/2024
Certification Date: 06/21/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
888 S KING ST FL 2
HONOLULU HI
96813-3097
US
IV. Provider business mailing address
888 S KING ST FL 2
HONOLULU HI
96813-3097
US
V. Phone/Fax
- Phone: 808-522-4222
- Fax:
- Phone: 808-522-4222
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RI0011X |
| Taxonomy | Interventional Cardiology Physician |
| License Number | 19360 |
| License Number State | HI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: