Provider Demographics
NPI:1942435441
Name:KURIYAMA, DAWN KIYOMI (MD)
Entity Type:Individual
Prefix:DR
First Name:DAWN
Middle Name:KIYOMI
Last Name:KURIYAMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:DAWN
Other - Middle Name:KIYOMI
Other - Last Name:KURIYAMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:66125 KAMEHAMEHA HWY
Mailing Address - Street 2:
Mailing Address - City:HALEIWA
Mailing Address - State:HI
Mailing Address - Zip Code:96712
Mailing Address - Country:US
Mailing Address - Phone:808-637-5087
Mailing Address - Fax:808-637-4765
Practice Address - Street 1:66125 KAMEHAMEHA HWY
Practice Address - Street 2:
Practice Address - City:HALEIWA
Practice Address - State:HI
Practice Address - Zip Code:96712
Practice Address - Country:US
Practice Address - Phone:808-637-5087
Practice Address - Fax:808-637-4765
Is Sole Proprietor?:No
Enumeration Date:2009-05-27
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD16475207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine