DR. KENNETH CLAUDE DUNHAM JR.


Address: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001
Phone: 8086551632

DR. KENNETH CLAUDE DUNHAM JR. (NPI# 1073008405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073008405
Entity Type Individual
Full Name DR. KENNETH CLAUDE DUNHAM JR.
Credential PMHNP-BC
Practice Address 1 Jarrett White Rd
Tripler Army Medical Center
HI 96859-5001
Mailing Address 59-053 Kapuhi St
Haleiwa
HI 96712-9422
Practice Telephone 8086551632
Mailing Telephone 5105518225
Enumeration Date 2018-06-27
Last Update Date 2018-06-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
201803763NP-PP OR Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1 JARRETT WHITE RD
City TRIPLER ARMY MEDICAL CENTER
State HI
Zip Code 96859-5001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154935732 Aimee Chon Pharmacist 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 2020-09-01
1275146755 Alan Vazquez Dentist 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 2020-08-25
1679181291 Ben Chu Military Health Care Provider 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 2020-07-20
1740808328 Tho Le Nurse Anesthetist, Certified Registered 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 2020-07-09
1609493410 Julie Klaber Psychologist 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 2020-06-26
1770107989 John Solak Student in an Organized Health Care Education/Training Program 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 2020-06-03
1588287643 Maggie E Scribner Orthopaedic Surgery 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 2020-05-24
1558983536 Sara Michelle Allen-dutcher Registered Nurse 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 2020-05-12
1235750944 John Francis Schumacher Registered Nurse 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 2020-05-04
1417578451 Lauren Williams Student in an Organized Health Care Education/Training Program 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 2020-04-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770115792 The Janz Corporation Durable Medical Equipment & Medical Supplies Tripler Medical Center, C-103, Honolulu, HI 96859 2020-02-07
1467726927 Elton E Bacon Orthotist 1 Jarrett White Rd Dept of The Army, Attn: Orthopedic Brace Clinic (mchk-dso-a), Tripler Amc, HI 96859 2012-03-01
1063738813 Defense Finance & Actg Service Military Hospital 691 Schofield Barracks, U.s Army Health Clinic Bldg, Wahiawa, HI 96859 2010-04-19
1972737153 Kyong Su Min Orthopaedic Surgery 1 Jarrett White Rd Bldg 4f, Tripler Army Medical Center, HI 96859 2009-05-04
1558503854 Mark Andrew Gerum Social Worker Tripler Army Medical Center, 1 Jarrett White Road, Intensive Outpatient Program (iop), Honolulu, HI 96859 2009-04-01
1578720926 Travis Jaya Mason Surgery Tripler Army Medical Center 1 Jarrett White Road, Honolulu, HI 96859 2008-05-21
1467513168 Joselyn Cabalo Funtanilla Ponce Registered Nurse 1 Jarrett White Rd Bldg 4, Tripler Amc, HI 96859 2006-12-13
1346280195 Harkirtin Kaur Mciver Pediatrics Tripler Army Medical Center Mchk-pe, 1 Jarrett White Road, Honolulu, HI 96859 2006-06-08
1043297740 Jacqueline Seger Registered Nurse Tamc 1 Jarrett-white Rd., 1 Jarrett-white Rd. / Mchk-dsc, Honolulu, HI 96859 2005-12-23
1982694683 Peter Marlin Psychiatry & Neurology Tamc, 1 Jarriet White Road, Honolulu, HI 96859 2005-10-24
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1235777632 Louella Van Osdol Nurse Practitioner 286 Hamakua Dr, Kailua, HI 96734-3917 2019-12-16
1659862910 Katelyn Jones Nurse Practitioner 615 Piikoi St Ste 1603, Honolulu, HI 96814-3142 2018-05-22
1609382340 Wellness Partners Hawaii Inc Nurse Practitioner 377 Keahole St # 211-c, Honolulu, HI 96825-3405 2017-12-18
1942726708 Sharilyn Butteling Nurse Practitioner 270 Hookahi St Ste 207, Wailuku, HI 96793-1466 2017-08-14
1821512245 Jennifer Jo Witt Nurse Practitioner 394 Glennan St., Bldg 672 Room 217, Schofield Barracks, HI 96857 2017-07-27
1861850570 Theresa Wade, Aprn LLC Nurse Practitioner 79-7446 Mamalahoa Hwy, Kealakekua, HI 96750-7913 2016-02-09
1982000766 Carrie R Baker Nurse Practitioner 727 Wainee St Ste 201, Lahaina, HI 96761-1589 2014-11-06
1821406943 Greywolf Psychiatry Services, Inc Nurse Practitioner 91-1019 Kamaaha Ave, 1004, Kapolei, HI 96707-2996 2014-08-01
1114178688 Diane Meloche Justusson Nurse Practitioner 87-1048 Huamoa St, Waianae, HI 96792-3435 2008-10-02
1922208685 Rebecca Lee Ross Nurse Practitioner 615 Piikoi St Ste 2002, Honolulu, HI 96814-3142 2007-07-20
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Competitor

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City TRIPLER ARMY MEDICAL CENTER
Zip Code 96859

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Dataset Information

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.

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