| 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 | 208D00000X General Practice |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| 207Q00000X Family Medicine (Licence: HI MD-10932) | |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2015-07-20 |