| Bradon Kimura Md Inc | |
|
81-937 Halekii St Suite 4 Kealakekua HI 96750-8182 | |
| (808) 322-5001 | |
| (808) 322-3077 |
| Full Name | Bradon Kimura Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 81-937 Halekii St, Kealakekua, Hawaii |
| Authorized Official Name and Position | Bradon Yoshio Kimura (PRESIDENT) |
| Authorized Official Contact | 8083225001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradon Kimura Md Inc 81-937 Halekii St Suite 4 Kealakekua HI 96750-8182 Ph: (808) 322-5001 | Bradon Kimura Md Inc 81-937 Halekii St Suite 4 Kealakekua HI 96750-8182 Ph: (808) 322-5001 |
| NPI Number | 1851574677 |
|---|---|
| Provider Enumeration Date | 12/14/2007 |
| Last Update Date | 12/21/2009 |
| Medicare PECOS PAC ID | 0648352906 |
|---|---|
| Medicare Enrollment ID | O20080125000622 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851574677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD5150 (Hawaii) | Primary |
| Provider Name | Bradon Y Kimura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356333512 PECOS PAC ID: 0749215929 Enrollment ID: I20050927001402 |
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