| Kaiser Permanente | |
|
80 Mahalani St Wailuku HI 96793-2531 | |
| (661) 477-7571 | |
| Not Available |
| Full Name | Kaiser Permanente |
|---|---|
| Speciality | Clinic/center |
| Location | 80 Mahalani St, Wailuku, Hawaii |
| Authorized Official Name and Position | Victoria Chicca (SPEECH LANGUAGE PATHOLOGIST) |
| Authorized Official Contact | 6614777571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaiser Permanente 80 Mahalani St Wailuku HI 96793-2531 Ph: (661) 477-7571 | Kaiser Permanente 80 Mahalani St Wailuku HI 96793-2531 Ph: (661) 477-7571 |
| NPI Number | 1275985111 |
|---|---|
| Provider Enumeration Date | 07/04/2016 |
| Last Update Date | 07/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275985111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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