WINDWARD PEDIATRICS INC. NPI 1528085222

NPI Information

WINDWARD PEDIATRICS, INC. is a specialist in Kaneohe, HI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. WINDWARD PEDIATRICS, INC. NPI is 1528085222. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

45-710 KAMEHAMEHA HWY
KANEOHE, HI
ZIP 96744-947
Phone: (808) 247-6644
Fax: (808) 235-2566

The provider's authorized official is Gregory Ky Yim .
The authorized official title is Physician and has the following contact phone number (808) 247-6644.

The CLIA number assigned to this NPI record is 12D0619455 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 11/15/2007.

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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