Provider Demographics
NPI:1134330277
Name:NEMECHEK, ROBERT WYLIE (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:WYLIE
Last Name:NEMECHEK
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 1:920 MAUNAWILI CIR
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-4619
Mailing Address - Country:US
Mailing Address - Phone:808-261-9718
Mailing Address - Fax:
Practice Address - Street 1:920 MAUNAWILI CIR
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-4619
Practice Address - Country:US
Practice Address - Phone:808-261-9718
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1550174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist