DR. KEVIN KUICH (NPI# 1669425054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669425054 |
| Entity Type | Individual |
| Full Name | DR. KEVIN KUICH |
| Credential | MD |
| Practice Address |
91-2301 Old Ft Weaver Rd Ewa Beach HI 96706 |
| Mailing Address |
91-2301 Old Ft Weaver Rd Ewa Beach HI 96706-3602 |
| Practice Telephone | 8086718511 |
| Mailing Telephone | 8086718511 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2019-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
C53296 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
4301072165 | MI | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD-18953 | HI | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
C53296 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
4301072165 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | PENDING | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2178 Johnson Ave, 2nd Floor, San Luis Obispo, CA 934014535 | 8054616060 | 8054616061 |
| Street Address |
91-2301 OLD FT WEAVER RD |
| City | EWA BEACH |
| State | HI |
| Zip Code | 96706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215900576 | Kenneth A Delano | Psychologist | 91-2301 Old Ft Weaver Rd, Ewa Beach, HI 96706-3602 | 2006-02-08 |
| 1114497468 | Shelly Johnson | Social Worker | 91-2301 Old Ft Weaver Rd, Ewa Beach, HI 96706-3602 | 2018-11-29 |
| 1356856686 | Zachary Callaghan | Social Worker | 91-2301 Old Ft Weaver Rd, Ewa Beach, HI 96706-3602 | 2017-12-08 |
| 1770007148 | Eileen Ryan Boland | Social Worker | 91-2301 Old Ft Weaver Rd, Ewa Beach, HI 96706-3602 | 2017-07-27 |
| 1952823593 | Christiana Chun | Social Worker | 91-2301 Old Ft Weaver Rd, Ewa Beach, HI 96706 | 2017-07-14 |
| 1538519871 | Joseph Anthony Francisco | Social Worker | 91-2301 Old Ft Weaver Rd, Ewa Beach, HI 96706-3602 | 2016-06-17 |
| 1184081473 | Mestisa C Gass | Counselor | 91-2301 Old Ft Weaver Rd, Ewa Beach, HI 96706-3602 | 2016-01-18 |
| 1366807968 | Lauren Schanke | Social Worker | 91-2301 Old Ft Weaver Rd, Ewa Beach, HI 96706-3602 | 2015-12-23 |
| 1538532866 | Merizza Tapia | Social Worker | 91-2301 Old Ft Weaver Rd, Ewa Beach, HI 96706-3602 | 2015-11-09 |
| 1609242213 | Jordan Mikala Everett | Social Worker | 91-2301 Old Ft Weaver Rd, Ewa Beach, HI 96706-3602 | 2015-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625516 | Alison Tolentino | Technician | 91-3633 Kauluakoko Street, Ewa Beach, HI 96706 | 2020-06-29 |
| 1851915722 | Sheree Cole Wilson | Social Worker | 6851 B 112th Street, Ewa Beach, HI 96706 | 2020-06-05 |
| 1811547144 | Madelyn Valenzuela | Technician | 91-1007 Napoona St., Ewa Beach, HI 96706 | 2019-09-18 |
| 1932761673 | Kina'ole Case Management Agency LLC | Case Management | 91-1163 Olowa Street Ewa Beach Hi 96706, Ewa Beach, HI 96706 | 2019-07-02 |
| 1952875049 | Vegafit Elite Fitness and Training | Family Medicine | 91-2131 Kaioli St, #3403, Ewa Beach, HI 96706 | 2019-01-11 |
| 1912470345 | Kristen Eiko Kane | Speech-Language Pathologist | 91-1561 Keaunui Dr, Ewa Beach, HI 96706 | 2019-01-08 |
| 1871069849 | Desiree Tricarico | Nurse Practitioner | 91-6390 Kapolei Pkwy, Suite 200, Ewa Beach, HI 96706 | 2018-10-17 |
| 1598251894 | Ewa Beach Dentists LLC | Clinic/Center | 105 Fort Weaver Road, Ste 105, Ewa Beach, HI 96706 | 2018-07-10 |
| 1427586833 | Alison Mcdonald Cameron | Marriage & Family Therapist | 6186a Ibis Ave, Ewa Beach, HI 96706 | 2017-05-30 |
| 1629528567 | Cindy Ann Holden | Contractor | 91755 B Fort Weaver Road, Ewa Beach, HI 96706 | 2016-10-04 |
| Find all providers in zip 96706 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518294966 | Gordon Duff Jensen | Psychiatry & Neurology | 91-521a Hapalua St, Ewa Beach, HI 96706-2929 | 2009-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205459492 | Outcomes Clinic LLC | Psychiatry & Neurology | 243 N Judd St Apt C, Honolulu, HI 96817-1747 | 2020-05-21 |
| 1932564861 | Kahala Clinic for Children & Family Inc | Psychiatry & Neurology | 4211 Waialae Ave Ste 207, Honolulu, HI 96816-5312 | 2015-12-18 |
| 1033383153 | Sara Marie Chiu | Psychiatry & Neurology | 88 Kanoelehua Ave Ste A204, Hilo, HI 96720-4670 | 2008-04-18 |
| 1982876371 | Alayne Yates | Psychiatry & Neurology | 242 Opihikao Way, Honolulu, HI 96825 | 2008-03-26 |
| 1831398148 | Josephine Pardenilla Horita | Psychiatry & Neurology | 4211 Waialae Ave Ste 208, Honolulu, HI 96816-5312 | 2007-07-16 |
| 1063617132 | Elodie Schaffer Imonen | Psychiatry & Neurology | 44-2944 Kalaniai Rd, Honokaa, HI 96727-6870 | 2007-06-19 |
| 1548488570 | Lili Kelly | Psychiatry & Neurology | 320 Ohua Ave, Ste 802, Honolulu, HI 96815-3670 | 2007-04-23 |
| 1750509253 | Chia Granda | Psychiatry & Neurology | 3-3204 Kuhio Hwy Ste 104, Lihue, HI 96766-1135 | 2007-04-23 |
| 1851456297 | Eberhard Martin Mann | Psychiatry & Neurology | 1650 Kanunu St Ph 1, Honolulu, HI 96814-2743 | 2006-12-26 |
| 1205372745 | Darin Gould Md LLC | Psychiatry & Neurology | 970 N Kalaheo Ave, Kailua, HI 96734-1866 | 2017-01-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.