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Contact Information

EMMAUS ROAD LLC
75-5870 WALUA RD
KAILUA-KONA, HI96740
 Phone: 808-323-3107
 Fax: 808-323-0012
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for EMMAUS ROAD LLC · (Female)

NPI Number 1164931085
Status Active
Credentials
Entity Individual
Enumeration date 09/22/2017
Last updated 09/22/2017 - About 9 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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