Keauhou-kona Medical Clinic | |
78-6831 Alii Dr Ste 169 Kailua Kona HI 96740-4409 | |
(808) 322-2750 | |
(808) 322-2995 |
Full Name | Keauhou-kona Medical Clinic |
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Speciality | General Practice |
Location | 78-6831 Alii Dr Ste 169, Kailua Kona, Hawaii |
Authorized Official Name and Position | Lambert K Lee Loy (PRESIDENT) |
Authorized Official Contact | 8083222750 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Keauhou-kona Medical Clinic Po Box 390932 Keauhou HI 96739-0932 Ph: (808) 322-2750 | Keauhou-kona Medical Clinic 78-6831 Alii Dr Ste 169 Kailua Kona HI 96740-4409 Ph: (808) 322-2750 |
NPI Number | 1629338165 |
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Provider Enumeration Date | 05/17/2012 |
Last Update Date | 05/17/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629338165 | NPI | - | NPPES |
013254 01 | Medicaid | HI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | MD4705 (Hawaii) | Primary |
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