| Kona Coast Internal Medicine | |
|
77-6433 Walua Rd Kailua Kona HI 96740 | |
| (808) 329-7007 | |
| (808) 329-4180 |
| Full Name | Kona Coast Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 77-6433 Walua Rd, Kailua Kona, Hawaii |
| Authorized Official Name and Position | Jonthan James (PRESIDENT) |
| Authorized Official Contact | 8083297007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kona Coast Internal Medicine Po Box 390372 Keauhou HI 96739-0372 Ph: (808) 329-7007 | Kona Coast Internal Medicine 77-6433 Walua Rd Kailua Kona HI 96740 Ph: (808) 329-7007 |
| NPI Number | 1396742243 |
|---|---|
| Provider Enumeration Date | 07/07/2005 |
| Last Update Date | 04/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396742243 | NPI | - | NPPES |
| 04265702 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD3580 (Hawaii) | Primary |
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