Healthcare Provider Details

I. General information

NPI: 1730122995
Provider Name (Legal Business Name): ESTHER M KAWANO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 10/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 KAPIOLANI BLVD SUITE 830
HONOLULU HI
96814-3515
US

IV. Provider business mailing address

PO BOX 26049
HONOLULU HI
96825-6049
US

V. Phone/Fax

Practice location:
  • Phone: 808-593-9222
  • Fax: 808-593-1033
Mailing address:
  • Phone: 808-394-6206
  • Fax: 808-394-6207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberMD6121
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD6121
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: