Camacho, Brenda M K

Camacho, Brenda M K is an individual health care provider with primary practice located at 183 Mohouli Street , Hilo HI 96720. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Camacho, Brenda M K can be contacted via phone (808) 935-1621.

Contact Information

Primary practice address
183 Mohouli Street Hilo HI 96720
Fax: (808) 935-5959
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD9518 Hawaii

Profile Details

NPI number 1255407995
LBN Legal business name Camacho, Brenda M K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255407995 NPPES
Hawaii MEDICAID 002084-02

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