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Contact Information

KELLY ANDERSON, MD
1 JARRETT WHITE RD
MOANALUA, HI96859-5001
 Phone: 808-351-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KELLY ANDERSON · (Female)

NPI Number 1790946390
Status Active
Credentials MD
Entity Individual
Enumeration date 06/17/2008
Last updated 05/15/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • HI License # MD-15600
  • HI License # MD15600
  • TN License # MD49891
  • WA License # MD60637583
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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