Provider Demographics
NPI:1598864571
Name:HURST, FRANK PORTER JR (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:PORTER
Last Name:HURST
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76-6225 KUAKINI HWY STE A107
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-3212
Mailing Address - Country:US
Mailing Address - Phone:808-326-1944
Mailing Address - Fax:
Practice Address - Street 1:76-6225 KUAKINI HWY STE A107
Practice Address - Street 2:
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-3212
Practice Address - Country:US
Practice Address - Phone:808-326-1944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD12866207RN0300X
HIMD-12866207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCVAD000Medicare UPIN