Provider Demographics
NPI:1265643423
Name:KITAGAWA, KORY HIROMI (MD)
Entity Type:Individual
Prefix:DR
First Name:KORY
Middle Name:HIROMI
Last Name:KITAGAWA
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 1:321 N KUAKINI ST
Mailing Address - Street 2:SUITE 610
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-2364
Mailing Address - Country:US
Mailing Address - Phone:808-533-4434
Mailing Address - Fax:808-533-4435
Practice Address - Street 1:321 N KUAKINI ST
Practice Address - Street 2:SUITE 610
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-2364
Practice Address - Country:US
Practice Address - Phone:808-533-4434
Practice Address - Fax:808-533-4435
Is Sole Proprietor?:No
Enumeration Date:2007-05-26
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY60 245358207N00000X
HI15562207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology