Healthcare Provider Details

I. General information

NPI: 1750323440
Provider Name (Legal Business Name): HAWAII KIDNEY SPECIALISTS, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 04/10/2024
Certification Date: 04/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 LILIHA ST STE 601
HONOLULU HI
96817-3564
US

IV. Provider business mailing address

1520 LILIHA ST #601
HONOLULU HI
96817-3564
US

V. Phone/Fax

Practice location:
  • Phone: 808-523-0445
  • Fax: 808-523-0442
Mailing address:
  • Phone: 808-523-0445
  • Fax: 808-523-0442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NOAH M SOLOMON
Title or Position: PHYSICIAN
Credential: MD
Phone: 808-523-0445