Provider Demographics
NPI:1427291350
Name:DILCHER, KANANI KELLY (MD)
Entity type:Individual
Prefix:DR
First Name:KANANI
Middle Name:KELLY
Last Name:DILCHER
Suffix:
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:KANANI
Other - Middle Name:KELLY
Other - Last Name:LOPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 305
Mailing Address - Street 2:
Mailing Address - City:HONOMU
Mailing Address - State:HI
Mailing Address - Zip Code:96728-0305
Mailing Address - Country:US
Mailing Address - Phone:541-880-6331
Mailing Address - Fax:
Practice Address - Street 1:620 RANCH RD
Practice Address - Street 2:
Practice Address - City:REEDSPORT
Practice Address - State:OR
Practice Address - Zip Code:97467-1720
Practice Address - Country:US
Practice Address - Phone:541-880-6331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-08
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-16927207Q00000X
ORMD153584208M00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist