Basic Information
Provider Information
NPI: 1225424500
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SWIM
FirstName: KATHRYN
MiddleName: JEAN
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 770 KAPIOLANI BLVD STE 705
Address2:  
City: HONOLULU
State: HI
PostalCode: 968135241
CountryCode: US
TelephoneNumber: 8085978791
FaxNumber: 8085978781
Practice Location
Address1: 770 KAPIOLANI BLVD STE 705
Address2:  
City: HONOLULU
State: HI
PostalCode: 968135241
CountryCode: US
TelephoneNumber: 9167348570
FaxNumber: 9167347950
Other Information
ProviderEnumerationDate: 04/13/2015
LastUpdateDate: 01/04/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XDOS-1863HIY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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