FOOT CARE CLINIC LLC NPI 1750418232

NPI Information

FOOT CARE CLINIC LLC is a gerontology nurse practitioner in Kailua Kona, HI. FOOT CARE CLINIC LLC NPI is 1750418232. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

71-1411 PUU KAMANU LN
#82
KAILUA KONA, HI
ZIP 96740-334
Phone: (808) 896-8847
Fax: (808) 325-1035

The provider's authorized official is Michiko Sato .
The authorized official title is Owner and has the following contact phone number (808) 896-8847.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 10/26/2010.

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:

Other Identifiers

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