Healthcare Provider Details

I. General information

NPI: 1710324892
Provider Name (Legal Business Name): MARCUS ALEKSANDER KUIKKA MBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2013
Last Update Date: 05/16/2025
Certification Date: 05/16/2025
Deactivation Date: 03/31/2014
Reactivation Date: 04/23/2014

III. Provider practice location address

221 MAHALANI ST
WAILUKU HI
96793
US

IV. Provider business mailing address

221 MAHALANI ST
WAILUKU HI
96793-2526
US

V. Phone/Fax

Practice location:
  • Phone: 808-244-9056
  • Fax:
Mailing address:
  • Phone: 808-242-2105
  • Fax: 808-243-3023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD19661
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License NumberA-147470
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License NumberMD-19661
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: