Provider Demographics
NPI:1467696328
Name:LAWLER, KIM J (DDS)
Entity Type:Individual
Prefix:DR
First Name:KIM
Middle Name:J
Last Name:LAWLER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1441 KAPIOLANI BLVD
Mailing Address - Street 2:SUITE 920
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-4402
Mailing Address - Country:US
Mailing Address - Phone:808-973-3700
Mailing Address - Fax:808-973-3707
Practice Address - Street 1:1441 KAPIOLANI BLVD
Practice Address - Street 2:SUITE 920
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4402
Practice Address - Country:US
Practice Address - Phone:808-973-3700
Practice Address - Fax:808-973-3707
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-22
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIDT 14881223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery