Provider Demographics
NPI:1912326042
Name:KINUE MIKI MD LLC
Entity Type:Organization
Organization Name:KINUE MIKI MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KINUE
Authorized Official - Middle Name:
Authorized Official - Last Name:MIKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-536-1300
Mailing Address - Street 1:2228 LILIHA STREET
Mailing Address - Street 2:SUITE 300
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-1653
Mailing Address - Country:US
Mailing Address - Phone:808-536-1300
Mailing Address - Fax:
Practice Address - Street 1:1585 KAPIOLANI BLVD
Practice Address - Street 2:SUITE 1800
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4500
Practice Address - Country:US
Practice Address - Phone:808-941-3363
Practice Address - Fax:808-949-0483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-16
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD 7370207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty