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Contact Information

THE KIDS DOC, LLC
579 FARRINGTON HWY
STE 203
KAPOLEI, HI96707-2027
 Phone: 808-674-2555
 Fax: 808-674-2988
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
 

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for THE KIDS DOC LLC · (Female)

NPI Number 1366034894
Status Active
Credentials
Entity Individual
Enumeration date 02/05/2021
Last updated 02/05/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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