KAUAI MEDICAL CLINIC NPI 1376596643

NPI Information

KAUAI MEDICAL CLINIC is a multi-specialty clinic center in Lihue, HI. KAUAI MEDICAL CLINIC NPI is 1376596643. The provider is registered as an organization entity type.

The provider's business location address is:

3-3420 KUHIO HWY
SUITE B
LIHUE, HI
ZIP 96766-098
Phone: (808) 245-1500
Fax: (808) 246-1625

The provider's authorized official is David Okabe .
The authorized official title is Cfo, Sr. Vice President and has the following contact phone number (808) 535-7202.

The CLIA number assigned to this NPI record is 12D0665883 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/18/2006 and was last updated on 7/6/2016.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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