Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 778 | HI |
Y | 213EG0000X | General Practice | 778 | HI |
NPI | 1003928284 |
---|---|
Provider Name | Dr. Owen Yasuto Kawakami |
First Address | Honolulu, HI 96826-2522 |
Second Address | Honolulu, HI 96826-2522 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 08/07/2007 |