Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 6581 | HI |
NPI | 1023033743 |
---|---|
Provider Name | Dr. Kevin Scott Hara |
First Address | Aiea, HI 96701-4713 |
Second Address | Aiea, HI 96701-4713 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 26/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
05421801 | (05) | HI |
E64700 | (02) |