Basic Information
| Provider Information | |||||||||
| NPI: | 1518028810 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KUMASHIRO | ||||||||
| FirstName: | KENT | ||||||||
| MiddleName: | KUNIO | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 895 | ||||||||
| Address2: | |||||||||
| City: | HILO | ||||||||
| State: | HI | ||||||||
| PostalCode: | 967210895 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8089838670 | ||||||||
| FaxNumber: | 8089836392 | ||||||||
| Practice Location | |||||||||
| Address1: | 1319 PUNAHOU ST | ||||||||
| Address2: | |||||||||
| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968261001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8089838670 | ||||||||
| FaxNumber: | 8089836392 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/12/2006 | ||||||||
| LastUpdateDate: | 09/22/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MD-10177 | HI | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | MD-10177 | HI | N | Allopathic & Osteopathic Physicians | Hospitalist | 208000000X | MD-10177 | HI | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.