Kimura, Bradon Yoshio

Kimura, Bradon Yoshio is an individual health care provider with primary practice located at 81-937 Halekii St Suite 4, Kealakekua HI 96750-8182. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kimura, Bradon Yoshio can be contacted via phone (808) 322-5001.

Contact Information

Primary practice address
81-937 Halekii St Suite 4 Kealakekua HI 96750-8182
Fax: (808) 322-3077
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD5150 Hawaii

Profile Details

NPI number 1356333512
LBN Legal business name Kimura, Bradon Yoshio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Feb 29th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356333512 NPPES
Hawaii MEDICAID 022021

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