Kimbrell, Mark
Kimbrell, Mark is an sole proprietor health care provider with primary practice located at 328 Uluniu St Suite 103, Kailua HI 96734-2547. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kimbrell, Mark can be contacted via phone (808) 263-3020.Contact Information
Primary practice address
328 Uluniu St Suite 103
Kailua HI 96734-2547
Phone: (808) 263-3020
Fax: (808) 263-3723
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD-5448 | Hawaii |
Profile Details
| NPI number | 1548238058 |
|---|---|
| LBN Legal business name | Kimbrell, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2006 |
| Last updated | May 5th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548238058 | NPPES |
| Hawaii | MEDICAID | 059806-01 |
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