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KAHALA CLINIC LLC NPI 1053666842


NPI Information

NPI: 1053666842
Provider Name: KAHALA CLINIC LLC
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
4211 WAIALAE AVE
SUITE 207
HONOLULU, HI
ZIP 96816
Phone: (808) 542-7349
Get Directions

KAHALA CLINIC LLC is a child and adolescent psychiatry psychiatry neurology in Honolulu, HI. The provider is 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. KAHALA CLINIC LLC NPI is 1053666842. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4211 WAIALAE AVE
SUITE 207
HONOLULU, HI
ZIP 96816-319
Phone: (808) 542-7349

The provider's authorized official is Jason Richard Keifer .
The authorized official title is Owner and has the following contact phone number (808) 542-7349.

The enumeration date for this NPI number is 7/17/2012 and was last updated on 7/17/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryMD12987HAWAIIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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