Provider Demographics
NPI:1265875231
Name:KITAMURA, CHRISTIAN YUKIE (MD)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:YUKIE
Last Name:KITAMURA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:98-1079 MOANALUA RD STE 500
Mailing Address - Street 2:PEARL CITY MEDICAL ASSOCIATES, INC.
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-4794
Mailing Address - Country:US
Mailing Address - Phone:808-488-0990
Mailing Address - Fax:808-486-4696
Practice Address - Street 1:98-1079 MOANALUA RD STE 500
Practice Address - Street 2:PEARL CITY MEDICAL ASSOCIATES, INC.
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4794
Practice Address - Country:US
Practice Address - Phone:808-488-0990
Practice Address - Fax:808-486-4696
Is Sole Proprietor?:No
Enumeration Date:2013-04-09
Last Update Date:2024-10-08
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Provider Licenses
StateLicense IDTaxonomies
HIMD 18633207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine