NPI | 1790114536 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH FILBECK Medical Director/Owner 808-380-3980 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI MD-10932) |
208D00000X General Practice | |
363L00000X Nurse Practitioner | |
363LF0000X Nurse Practitioner Family | |
Enumeration Date | 2013-11-02 |
Last Update Date | 2015-07-20 |