IndividualActive
Tanner Kim, M.D.
NPI 1154778249 · Vascular Surgery Physician · Honolulu, HI
Provider details
- NPI number
- 1154778249
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD-22626 (HI)
Mailing address
1301 Punchbowl St
Honolulu, HI 96813-2499
Registry dates
- Enumerated
- 2016-05-18
- Last updated
- 2022-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.