KA WAI OLA MEDICAL CLINIC LLC NPI 1487102877

NPI Information

NPI: 1487102877
Provider Name: KA WAI OLA MEDICAL CLINIC LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
16-590 OLD VOLCANO RD
STE. A
KEAAU, HI
ZIP 96749
Phone: (808) 796-0168
Get Directions

KA WAI OLA MEDICAL CLINIC LLC is a primary care clinic center in Keaau, HI. KA WAI OLA MEDICAL CLINIC LLC NPI is 1487102877. The provider is registered as an organization entity type.

The provider's business location address is:

16-590 OLD VOLCANO RD
STE. A
KEAAU, HI
ZIP 96749-158
Phone: (808) 796-0168

The provider's authorized official is Leilani Kerr .
The authorized official title is Owner and has the following contact phone number (808) 796-0168.

The enumeration date for this NPI number is 9/14/2016 and was last updated on 9/14/2016.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	APRN-1450	HAWAII	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00A0324531	OTHER	HAWAII	HMSA PROVIDER
2	11105633	OTHER	HAWAII	MEDICARE PTAN

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: 5/5/2024

NPI Synchronization or Removal

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