Provider Demographics
NPI:1760685358
Name:O'ROURKE, KEVIN PATRICK (MD)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:PATRICK
Last Name:O'ROURKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:407 ULUNIU ST
Mailing Address - Street 2:#411
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2519
Mailing Address - Country:US
Mailing Address - Phone:808-263-7203
Mailing Address - Fax:808-263-4604
Practice Address - Street 1:407 ULUNIU ST
Practice Address - Street 2:#411
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2519
Practice Address - Country:US
Practice Address - Phone:808-263-7203
Practice Address - Fax:808-263-4604
Is Sole Proprietor?:No
Enumeration Date:2007-06-09
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2007015089207P00000X
HIMD-18344207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine