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).
| 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 |
| 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 |
| Street Address |
1 JARRETT WHITE RD |
| City | TRIPLER ARMY MEDICAL CENTER |
| State | HI |
| Zip Code | 96859-5001 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 96859 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
| City | TRIPLER ARMY MEDICAL CENTER |
| Zip Code | 96859 |
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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.