institution
Foot Care Clinic Llc
Gerontology Nurse Practitioner in Kailua Kona, Hawaii
NPI 1750418232

Foot Care Clinic Llc is a Gerontology Nurse Practitioner based in Kailua Kona, HI and is specialized in Gerontology. Foot Care Clinic Llc practices in Kailua Kona, HI. The NPI Number for Foot Care Clinic Llc is 1750418232 and holds a License No. (Hawaii).

The current practice location address for Foot Care Clinic Llc is 71-1411 Puu Kamanu Ln, Kailua Kona, HI and can be reached out via phone at 808-896-8847 and via fax at 808-325-1035. You can also correspond with Foot Care Clinic Llc through the mailing address at 71-1411 PUU KAMANU LN, KAILUA KONA, HI - 96740-8334 (mailing address contact number: 808-896-8847).

Location: 71-1411 Puu Kamanu Ln, Kailua Kona, HI, 96740-8334
institution
Provider Profile Details
NPI Number
1750418232
Provider Name
Foot Care Clinic Llc
Credential
Provider Entity Type
Organization
Address
71-1411 Puu Kamanu Ln, Kailua Kona, HI, 96740-8334
Phone Number
808-896-8847
Fax Number
808-325-1035
Provider Enumeration Date
02/28/2007
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0000262147 01 HI HMSA
institution
Provider Business Practice Location Address Details
Address
71-1411 Puu Kamanu Ln
City
State
Zip
96740-8334
Phone Number
808-896-8847
Fax Number
808-325-1035
person
Provider Business Mailing Address Details
Address
71-1411 Puu Kamanu Ln
City
State
Zip
96740-8334
Phone Number
808-896-8847
Fax Number
808-325-1035
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Enterostomal Therapy
Taxonomy
License No.
788 (Hawaii)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
()
Definition
Definition to come...
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