Provider Demographics
NPI:1528048360
Name:KAU, KENNETH KH (MD)
Entity type:Individual
Prefix:
First Name:KENNETH
Middle Name:KH
Last Name:KAU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2756 WOODLAWN DR
Mailing Address - Street 2:SUITE 6-202
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-1856
Mailing Address - Country:US
Mailing Address - Phone:808-988-0819
Mailing Address - Fax:808-988-1806
Practice Address - Street 1:2756 WOODLAWN DR
Practice Address - Street 2:SUITE 6-202
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-1856
Practice Address - Country:US
Practice Address - Phone:808-988-0819
Practice Address - Fax:808-988-1806
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD82613207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI05762801Medicaid
HIC07113BOtherHMSA
HI05762801Medicaid
F64605Medicare UPIN