Provider Demographics
NPI:1285756650
Name:BAUMAN, KAY ANGELA (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:KAY
Middle Name:ANGELA
Last Name:BAUMAN
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Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:59-479 HOALIKE RD
Mailing Address - Street 2:
Mailing Address - City:HALEIWA
Mailing Address - State:HI
Mailing Address - Zip Code:96712-9524
Mailing Address - Country:US
Mailing Address - Phone:808-638-7588
Mailing Address - Fax:
Practice Address - Street 1:919 ALA MOANA BLVD
Practice Address - Street 2:RM. 407
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4920
Practice Address - Country:US
Practice Address - Phone:808-587-3376
Practice Address - Fax:808-587-3378
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-09
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Provider Licenses
StateLicense IDTaxonomies
HI8046207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HID36538Medicare UPIN