Provider Demographics
NPI:1386676468
Name:LEN, KYRA ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:KYRA
Middle Name:ANNE
Last Name:LEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KYRA
Other - Middle Name:ANNE
Other - Last Name:NISHIMOTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1319 PUNAHOU ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-1001
Mailing Address - Country:US
Mailing Address - Phone:808-983-6000
Mailing Address - Fax:808-983-6109
Practice Address - Street 1:1319 PUNAHOU ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-1001
Practice Address - Country:US
Practice Address - Phone:808-983-6000
Practice Address - Fax:808-983-6109
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-13671208000000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist