| NPI | 1558583856 |
|---|---|
| Other Name | KPT SATELLITE CLINIC |
| Entity Type | Organization |
| Authorized Contact | DAVID DERAUF Executive Director 808-791-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: HI 261QH0100X) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2014-11-25 |