Kathleen E. Min, M.d., Llc | |
1380 Lusitana St Ste 515 Honolulu HI 96813-2441 | |
(808) 523-3859 | |
(808) 521-4285 |
Full Name | Kathleen E. Min, M.d., Llc |
---|---|
Speciality | Internal Medicine |
Location | 1380 Lusitana St Ste 515, Honolulu, Hawaii |
Authorized Official Name and Position | Kathleen E. Min (MD/BUSINESS OWNER) |
Authorized Official Contact | 8085233859 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Kathleen E. Min, M.d., Llc 1380 Lusitana St Ste 515 Honolulu HI 96813-2441 Ph: (808) 523-3859 | Kathleen E. Min, M.d., Llc 1380 Lusitana St Ste 515 Honolulu HI 96813-2441 Ph: (808) 523-3859 |
NPI Number | 1891450722 |
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Provider Enumeration Date | 11/04/2021 |
Last Update Date | 11/04/2021 |
Medicare PECOS PAC ID | 4587054176 |
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Medicare Enrollment ID | O20211214003160 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891450722 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Richard Thomas Min |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255482238 PECOS PAC ID: 6709053424 Enrollment ID: I20120120000811 |
Provider Name | Kathleen Elizabeth Min |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912351909 PECOS PAC ID: 9335476019 Enrollment ID: I20190805001354 |
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