Provider Demographics
NPI:1093742728
Name:NG, KENNETH PING KIN (MD)
Entity Type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:PING KIN
Last Name:NG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 S BERETANIA ST
Mailing Address - Street 2:C202
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2208
Mailing Address - Country:US
Mailing Address - Phone:808-533-2334
Mailing Address - Fax:808-533-0414
Practice Address - Street 1:50 S BERETANIA ST
Practice Address - Street 2:C202
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2208
Practice Address - Country:US
Practice Address - Phone:808-533-2334
Practice Address - Fax:808-533-0414
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD3278208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics