Provider Demographics
NPI:1659015527
Name:ALVORD, CHRISTOPHER KODIAK (MD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:KODIAK
Last Name:ALVORD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64-1035 MAMALAHOA HWY STE F
Mailing Address - Street 2:
Mailing Address - City:KAMUELA
Mailing Address - State:HI
Mailing Address - Zip Code:96743-8440
Mailing Address - Country:US
Mailing Address - Phone:808-885-5900
Mailing Address - Fax:
Practice Address - Street 1:64-1035 MAMALAHOA HWY STE F
Practice Address - Street 2:
Practice Address - City:KAMUELA
Practice Address - State:HI
Practice Address - Zip Code:96743-8440
Practice Address - Country:US
Practice Address - Phone:808-885-5900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-26
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-25088207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine