Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0201X | Pediatric Allergist | MD-6555 | HI |
NPI | 1669561841 |
---|---|
Provider Name | Dr. Jeffrey C. Kam |
First Address | Honolulu, HI 96813-3009 |
Second Address | Honolulu, HI 96813-3009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 14/09/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F27118 | (02) | HI |