Provider Demographics
NPI:1003262130
Name:SALIRE, KEVIN MARC (MD)
Entity type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:MARC
Last Name:SALIRE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:91-2135 FORT WEAVER RD FL 3
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-1940
Mailing Address - Country:US
Mailing Address - Phone:808-691-3340
Mailing Address - Fax:808-691-3346
Practice Address - Street 1:91-2135 FORT WEAVER RD FL 3
Practice Address - Street 2:
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706
Practice Address - Country:US
Practice Address - Phone:808-691-3340
Practice Address - Fax:808-691-3345
Is Sole Proprietor?:No
Enumeration Date:2016-05-07
Last Update Date:2022-09-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIMD-22519207RC0000X
CAA161281207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine