KAILUA DERMATOLOGY CENTERS OF HAWAII LLC NPI 1588843502

NPI Information

KAILUA DERMATOLOGY CENTERS OF HAWAII, LLC is a medical physician assistant in Kailua, HI. KAILUA DERMATOLOGY CENTERS OF HAWAII, LLC NPI is 1588843502. The provider is registered as an organization entity type.

The provider's business location address is:

1051 KEOLU DR STE 107
KAILUA, HI
ZIP 96734-800
Phone: (808) 263-3233
Fax: (808) 263-3220

The provider's authorized official is Douglas M Williams .
The authorized official title is Owner/physician Assistant and has the following contact phone number (808) 263-3233.

The CLIA number assigned to this NPI record is 12D1009461 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/25/2007 and was last updated on 2/14/2018.

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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