Provider Demographics
NPI:1619084159
Name:KWOK, DAN K K (DO)
Entity Type:Individual
Prefix:DR
First Name:DAN
Middle Name:K K
Last Name:KWOK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:DAN
Other - Middle Name:K
Other - Last Name:KWAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:684 WAIANAE AVE
Mailing Address - Street 2:
Mailing Address - City:SCHOFIELD BARRACKS
Mailing Address - State:HI
Mailing Address - Zip Code:96857
Mailing Address - Country:US
Mailing Address - Phone:808-433-8854
Mailing Address - Fax:
Practice Address - Street 1:1 JARRETT WHITE RD STE 700
Practice Address - Street 2:
Practice Address - City:TRIPLER ARMY MEDICAL CENTER
Practice Address - State:HI
Practice Address - Zip Code:96859-5001
Practice Address - Country:US
Practice Address - Phone:808-433-6661
Practice Address - Fax:808-433-1551
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDOS-1191207Q00000X, 207Q00000X
IL036-111102207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine