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General NPI Number Information
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NPI Number | 1558153940
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Entity Type | Organization
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Legal Business Name | KONA KIDNEY SPECIALISTS LLC
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 76-6225 KUAKINI HWY STE A107
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City | KAILUA KONA
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State | HI
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Zip | 96740-3212
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Country | US
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Telephone | 808-326-1944
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Fax |
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Provider Business Mailing Address
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Address Line | 77-6355 HALAWAI PL
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City | KAILUA KONA
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State | HI
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Zip | 96740-2287
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Country | US
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Telephone | 808-754-0351
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. FRANK PORTER HURST JR.
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Credential | MD
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Telephone | 808-754-1123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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