| NPI | 1851529580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY KAY MCCAULEY LUND Medical Director 808-372-2420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: HI Dos-856) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2024-10-21 |