Healthcare Provider Details

I. General information

NPI: 1821290487
Provider Name (Legal Business Name): KAREN A. SOULES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2007
Last Update Date: 05/12/2021
Certification Date: 05/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 PENSACOLA ST
HONOLULU HI
96814-2118
US

IV. Provider business mailing address

1010 PENSACOLA ST
HONOLULU HI
96814-2118
US

V. Phone/Fax

Practice location:
  • Phone: 808-432-2000
  • Fax:
Mailing address:
  • Phone: 808-432-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number5012
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD.203643
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License NumberME 115995
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License NumberMD-18182
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: