Jon Kingsley Lattimer, MD is a
Urology physician based in Kealakekua, Hawaii. Jon Kingsley Lattimer is licensed to practice in Hawaii (license number 3814) and his current practice location is 81-6627 Mamalahoa Highway Suite 106, Kealakekua, Hawaii. He can be reached at his office (for appointments etc.) via phone at
(808) 323-2136.
NPI number for Jon Kingsley Lattimer is 1578570248 and his current mailing address is Po Box 5308, Kailua Kona, Hawaii. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578570248.
Physician's Profile
| Full Name | Jon Kingsley Lattimer |
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| Gender | Male |
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| Speciality | Urology |
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| Location | 81-6627 Mamalahoa Highway Suite 106, Kealakekua, Hawaii |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1578570248
- Provider Enumeration Date: 08/02/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Jon Kingsley Lattimer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578570248 | NPI | - | NPPES |
| 04591301 | Medicaid | HI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | 3814 (Hawaii) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jon Kingsley Lattimer is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jon Kingsley Lattimer, MD
Po Box 5308,
Kailua Kona, HI 96745-5308
Ph: (808) 323-2136 | Jon Kingsley Lattimer, MD
81-6627 Mamalahoa Highway Suite 106,
Kealakekua, HI 96750
Ph: (808) 323-2136 |
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