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Ka Wai Ola Medical Clinic Llc
Primary Care Clinic/Center in Keaau, Hawaii
NPI 1487102877

Ka Wai Ola Medical Clinic Llc is a Primary Care Clinic/Center based in Hilo, HI and is specialized in Primary Care. Ka Wai Ola Medical Clinic Llc practices in Keaau, HI. The NPI Number for Ka Wai Ola Medical Clinic Llc is 1487102877 and holds a License No. APRN-1450 (Hawaii).

The current practice location address for Ka Wai Ola Medical Clinic Llc is 16-590 Old Volcano Rd, Keaau, HI and can be reached out via phone at 808-796-0168.

Location: 16-590 Old Volcano Rd, Keaau, HI, 96720-6908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487102877
Provider Name
Ka Wai Ola Medical Clinic Llc
Credential
Provider Entity Type
Organization
Address
16-590 Old Volcano Rd, Keaau, HI, 96720-6908
Phone Number
808-796-0168
Fax Number
Provider Enumeration Date
09/14/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11105633 01 HI MEDICARE PTAN
00A0324531 01 HI HMSA PROVIDER
institution
Provider Business Practice Location Address Details
Address
16-590 Old Volcano Rd
City
Keaau
State
Hawaii
Zip
96749-8158
Phone Number
808-796-0168
Fax Number
person
Provider Business Mailing Address Details
Address
16-590 Old Volcano Rd
City
Keaau
State
Hawaii
Zip
96749-8158
Phone Number
808-796-0168
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
APRN-1450 (Hawaii)
Definition
Definition to come...
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