Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Makana North Shore Dermatology

Organization Dermatology Physician · NPI 1356149892

Makana North Shore Dermatology provides Dermatology Physician services in Princeville, Hawaii. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4488 Hanalei Plantation Rd
Princeville, HI 96722-5462
Phone: (808) 320-7300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1356149892
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Kimball — Sole Mbr · (801) 910-1963
NPI enumeratedMarch 3, 2025
Last updated in NPPESJune 2, 2025
Certification dateJune 2, 2025
Mailing address4488 Hanalei Plantation Rd, Princeville, HI 96722-5462

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