Provider Demographics
NPI:1326384819
Name:KUBA, ROLIN YOSHIAKI (NP)
Entity Type:Individual
Prefix:MR
First Name:ROLIN
Middle Name:YOSHIAKI
Last Name:KUBA
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1717 MOTT-SMITH DR APT 2611
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-2845
Mailing Address - Country:US
Mailing Address - Phone:808-554-8916
Mailing Address - Fax:
Practice Address - Street 1:1717 MOTT-SMITH DR APT 2611
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-2845
Practice Address - Country:US
Practice Address - Phone:808-554-8916
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-02
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1516363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care