| NPI | 1598810814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL S KELLY Physician 808-678-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: HI 11807) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2008-02-06 |