Provider Demographics
NPI:1497402812
Name:KAPLAN-STAFFORD, PAULINE RUTH (DO)
Entity type:Individual
Prefix:DR
First Name:PAULINE
Middle Name:RUTH
Last Name:KAPLAN-STAFFORD
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:PAULINE
Other - Middle Name:RUTH
Other - Last Name:KAPLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:91-1354 KILIPUE ST
Mailing Address - Street 2:UNIT A
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 JARRETT WHITE ROAD
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96859-5001
Practice Address - Country:US
Practice Address - Phone:808-433-9728
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-05
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2969208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice