USRC KO'OLAU LLC NPI 1568039329

NPI Information

USRC KO'OLAU LLC is an end-stage renal disease (esrd) treatment clinic center in Kaneohe, HI. USRC KO'OLAU LLC NPI is 1568039329. The provider is registered as an organization entity type.

The provider's business location address is:

47-388 HUI IWA ST STE 2
KANEOHE, HI
ZIP 96744-427
Phone: (808) 239-3400
Fax: (808) 239-3401

The provider's authorized official is Thomas L. Weinberg .
The authorized official title is Chairman And President and has the following contact phone number (214) 736-2700.

The CLIA number assigned to this NPI record is 12D1080962 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2021 and was last updated on 6/9/2021.

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:

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