Healthcare Provider Details

I. General information

NPI: 1598864571
Provider Name (Legal Business Name): FRANK PORTER HURST JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 05/19/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

76-6225 KUAKINI HWY STE A107
KAILUA KONA HI
96740-3212
US

IV. Provider business mailing address

76-6225 KUAKINI HWY STE A107
KAILUA KONA HI
96740-3212
US

V. Phone/Fax

Practice location:
  • Phone: 808-326-1944
  • Fax:
Mailing address:
  • Phone: 808-326-1944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberMD12866
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD-12866
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: