Kevin J Davison, N,D,
Individual provider Active NPI Naturopath · Haiku, HI
NPI 1386969129 · NPPES record last updated Apr 5, 2010
Key facts
- NPI
- 1386969129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- License
- ND84 (HI)
- Practice address
- 2310 Umi PL
Haiku, HI 96708-5850 - Phone
- (808) 575-2328
- NPI assigned
- Apr 5, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1541 | OR | MD | Psychologist |
| ND84 | HI | MD | Naturopath |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | ND84 | HI | Yes |
| Naturopath | 175F00000X | 1541 | OR |
Addresses
Primary practice location
2310 Umi PL
Haiku, HI 96708-5850
Mailing address
2310 Umi PL
Haiku, HI 96708-5850
Other providers in Haiku, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.