| Charles H Ballard Inc | |
|
2439 S Kihei Rd Suite 206a Kihei HI 96753-7283 | |
| (808) 891-6001 | |
| (808) 891-1006 |
| Full Name | Charles H Ballard Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2439 S Kihei Rd, Kihei, Hawaii |
| Authorized Official Name and Position | Charles H Ballard (OWNER) |
| Authorized Official Contact | 8088916001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles H Ballard Inc 2439 S Kihei Rd Suite 206a Kihei HI 96753-7283 Ph: (808) 891-6001 | Charles H Ballard Inc 2439 S Kihei Rd Suite 206a Kihei HI 96753-7283 Ph: (808) 891-6001 |
| NPI Number | 1508001686 |
|---|---|
| Provider Enumeration Date | 12/03/2008 |
| Last Update Date | 12/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508001686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DOS735 (Hawaii) | Primary |
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