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Contact Information

KONA COAST INTERNAL MEDICINE
77-6433 WALUA RD
KAILUA-KONA, HI96740
 Phone: 808-329-7007
 Fax: 808-329-4180
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KONA COAST INTERNAL MEDICINE · (Female)

NPI # 1396742243
Status Active
Credentials
Entity Individual
Enumeration date 07/07/2005
Last updated 04/15/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • HI License # MD3580
  • HI Medicaid 04265702
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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