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Kailua Dermatology Centers Of Hawaii, Llc
Medical Physician Assistant in Kailua, Hawaii
NPI 1588843502

Kailua Dermatology Centers Of Hawaii, Llc is a Medical Physician Assistant based in Kailua, HI and is specialized in Medical. Kailua Dermatology Centers Of Hawaii, Llc practices in Kailua, HI. The NPI Number for Kailua Dermatology Centers Of Hawaii, Llc is 1588843502 and holds a License No. 10836 (Hawaii).

The current practice location address for Kailua Dermatology Centers Of Hawaii, Llc is 1051 Keolu Dr Ste 107, Kailua, HI and can be reached out via phone at 808-263-3233 and via fax at 808-263-3220.

Location: 1051 Keolu Dr Ste 107, Kailua, HI, 96734-3800
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588843502
Provider Name
Kailua Dermatology Centers Of Hawaii, Llc
Credential
Provider Entity Type
Organization
Address
1051 Keolu Dr Ste 107, Kailua, HI, 96734-3800
Phone Number
808-263-3233
Fax Number
808-263-3220
Provider Enumeration Date
10/25/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1051 Keolu Dr Ste 107
City
Kailua
State
Hawaii
Zip
96734-3800
Phone Number
808-263-3233
Fax Number
808-263-3220
person
Provider Business Mailing Address Details
Address
1051 Keolu Dr Ste 107
City
Kailua
State
Hawaii
Zip
96734-3800
Phone Number
808-263-3233
Fax Number
808-263-3220
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
10836 (Hawaii)
Definition
Definition to come...
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