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General NPI Number Information
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NPI Number | 1972737153
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Entity Type | Individual
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Provider Name | KYONG SU MIN MD
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Gender | Male
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Dates
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Enumeration Date | 05/04/2009
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 3382 WAIALAE AVE
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City | HONOLULU
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State | HI
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Zip | 96816-2637
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Country | US
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Telephone | 808-548-7033
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Fax |
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Provider Business Mailing Address
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Address Line | 3382 WAIALAE AVE
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City | HONOLULU
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State | HI
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Zip | 96816-2637
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Country | US
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Telephone | 808-548-7033
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Fax | 808-548-7034
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD-19296
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD60771590
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | MD-19296
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License Number State | HI
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