| Kailua Spine Center Llc | |
|
1005 Keolu Dr Ste A Kailua HI 96734-3873 | |
| (218) 390-5431 | |
| Not Available |
| Full Name | Kailua Spine Center Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1005 Keolu Dr Ste A, Kailua, Hawaii |
| Authorized Official Name and Position | Mary Adey (OWNER) |
| Authorized Official Contact | 2183905431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kailua Spine Center Llc 167 Oko St Apt 6 Kailua HI 96734-1733 Ph: () - | Kailua Spine Center Llc 1005 Keolu Dr Ste A Kailua HI 96734-3873 Ph: (218) 390-5431 |
| NPI Number | 1679257273 |
|---|---|
| Provider Enumeration Date | 06/14/2023 |
| Last Update Date | 06/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679257273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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