Healthcare Provider Details

I. General information

NPI: 1649130030
Provider Name (Legal Business Name): RIVER KIM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2025
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 S KING ST STE 308
HONOLULU HI
96826-3154
US

IV. Provider business mailing address

2525 S KING ST STE 308
HONOLULU HI
96826-3154
US

V. Phone/Fax

Practice location:
  • Phone: 808-941-7766
  • Fax:
Mailing address:
  • Phone: 808-941-7766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: ZACHARY RIVER KIM
Title or Position: OWNER
Credential: DO
Phone: 808-941-7766