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General NPI Number Information
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NPI Number | 1891450722
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Entity Type | Organization
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Legal Business Name | KATHLEEN E. MIN, M.D., LLC
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Dates
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Enumeration Date | 11/04/2021
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Last Update Date | 11/04/2021
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Provider Practice Location Address
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Address Line | 1380 LUSITANA ST STE 515
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City | HONOLULU
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State | HI
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Zip | 96813-2441
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Country | US
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Telephone | 808-523-3859
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Fax | 808-521-4285
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Provider Business Mailing Address
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Address Line | 1380 LUSITANA ST STE 515
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City | HONOLULU
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State | HI
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Zip | 96813-2441
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Country | US
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Telephone | 808-523-3859
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Fax |
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Authorized Official
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Title or Position | MD/BUSINESS OWNER
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Name | KATHLEEN E. MIN
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Credential | MD
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Telephone | 808-523-3859
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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