Healthcare Provider Details

I. General information

NPI: 1073504858
Provider Name (Legal Business Name): KEVIN BOYLE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2005
Last Update Date: 04/18/2025
Certification Date: 04/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 JARRETT WHITE RD
TAMC HI
96859-5001
US

IV. Provider business mailing address

326 KUUKAMA ST
KAILUA HI
96734-2951
US

V. Phone/Fax

Practice location:
  • Phone: 808-433-2478
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number2001-01527
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: