Provider Demographics
NPI:1912292699
Name:GOLDEN, SPRING K (MD)
Entity Type:Individual
Prefix:DR
First Name:SPRING
Middle Name:K
Last Name:GOLDEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2226 LILIHA ST
Mailing Address - Street 2:STE 302
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-1605
Mailing Address - Country:US
Mailing Address - Phone:808-585-8008
Mailing Address - Fax:808-585-7007
Practice Address - Street 1:2226 LILIHA ST
Practice Address - Street 2:STE 302
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-1605
Practice Address - Country:US
Practice Address - Phone:808-585-8008
Practice Address - Fax:808-585-7007
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-10
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD18588207ND0101X, 207N00000X
ORMD172255207NS0135X, 207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology