1942435441 NPI number — DR. DAWN KIYOMI KURIYAMA M.D.

Table of content: DR. DAWN KIYOMI KURIYAMA M.D. (NPI 1942435441)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942435441 NPI number — DR. DAWN KIYOMI KURIYAMA M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KURIYAMA
Provider First Name:
DAWN
Provider Middle Name:
KIYOMI
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
KURIYAMA
Provider Other First Name:
DAWN
Provider Other Middle Name:
KIYOMI
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1942435441
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/06/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
66125 KAMEHAMEHA HWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HALEIWA
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96712
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-637-5087
Provider Business Mailing Address Fax Number:
808-637-4765

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
66125 KAMEHAMEHA HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HALEIWA
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96712
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-637-5087
Provider Business Practice Location Address Fax Number:
808-637-4765
Provider Enumeration Date:
05/27/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  MD16475 , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)