Provider Demographics
NPI:1588714026
Name:CASWELL, KIMBERLY S (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:S
Last Name:CASWELL
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:932 WARD AVE
Mailing Address - Street 2:SUITE 410
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-2131
Mailing Address - Country:US
Mailing Address - Phone:808-536-2223
Mailing Address - Fax:808-533-1371
Practice Address - Street 1:932 WARD AVE
Practice Address - Street 2:SUITE 410
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-2131
Practice Address - Country:US
Practice Address - Phone:808-536-2223
Practice Address - Fax:808-533-1371
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HI17151223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics