Provider Demographics
NPI:1336319532
Name:KEVIN K KATO, M.D., INC.
Entity Type:Organization
Organization Name:KEVIN K KATO, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:K
Authorized Official - Last Name:KATO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-877-2020
Mailing Address - Street 1:169 MAA ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96732-3603
Mailing Address - Country:US
Mailing Address - Phone:808-877-2020
Mailing Address - Fax:808-877-6060
Practice Address - Street 1:169 MAA ST
Practice Address - Street 2:SUITE B
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-3603
Practice Address - Country:US
Practice Address - Phone:808-877-2020
Practice Address - Fax:808-877-6060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-04
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIH56261Medicare PIN