Provider Demographics
NPI:1457521825
Name:KENNETH KAU M.D., L.L.C.
Entity Type:Organization
Organization Name:KENNETH KAU M.D., L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:KUM HEE
Authorized Official - Last Name:KAU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-988-0819
Mailing Address - Street 1:2756 WOODLAWN DR
Mailing Address - Street 2:6-202
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-1856
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2756 WOODLAWN DR
Practice Address - Street 2:6-202
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-1856
Practice Address - Country:US
Practice Address - Phone:808-988-0819
Practice Address - Fax:808-988-1806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-03
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI8263261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center