Provider Demographics
NPI:1710324892
Name:KUIKKA, MARCUS ALEKSANDER (MBBS)
Entity Type:Individual
Prefix:
First Name:MARCUS
Middle Name:ALEKSANDER
Last Name:KUIKKA
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 E WAKEA AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96732-2475
Mailing Address - Country:US
Mailing Address - Phone:808-538-3232
Mailing Address - Fax:808-538-3220
Practice Address - Street 1:221 MAHALANI ST
Practice Address - Street 2:
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793
Practice Address - Country:US
Practice Address - Phone:808-244-9056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-29
Last Update Date:2018-07-11
Deactivation Date:2014-03-31
Deactivation Code:
Reactivation Date:2014-04-23
Provider Licenses
StateLicense IDTaxonomies
HIMD19661207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology