Provider Demographics
NPI:1194941427
Name:WEBB, ROBERT K
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:K
Last Name:WEBB
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44-135 KEAALAU PL
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-2531
Mailing Address - Country:US
Mailing Address - Phone:808-235-2584
Mailing Address - Fax:808-735-9598
Practice Address - Street 1:3221 WAIALAE AVE
Practice Address - Street 2:SUITE 345
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-5842
Practice Address - Country:US
Practice Address - Phone:808-732-5223
Practice Address - Fax:808-735-9598
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI58237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI99-0306162-02OtherUHA - MAUI OFFICE
HIB09296-1OtherHMSA - MAUI OFFICE
HI9296-5OtherHMSA - KAIMUKI OFFICE
HI99-0306162-01OtherUHA - KAIMUKI OFFICE