Doctor Name: | DR. KARLWIN J MATTHEWS |
NPI Number: | 1497731194 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 39673-020 |
Business Practice Address: | 480 Central Ave Pearl Harbor, HI - 968604908 |
Business Phone Number: | 8084711866 |
Business Fax Number: | |
Mailing Address: | 91-1066 Noholike St, EWA BEACH |
State: | HI |
Postal Code: | 967065123 |
Phone Number: | 8086853253 |
Fax Number: | |
NPI Enumeration Date: | 12/15/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | 39673-020 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Military Health Care Provider |
Taxonomy Specialization: | |
Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |