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Contact Information

KAHALA CLINIC LLC
4211 WAIALAE AVE
SUITE 207
HONOLULU, HI96816-5319
 Phone: 808-542-7349
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for KAHALA CLINIC LLC

NPI # 1053666842
LBN Legal business name KAHALA CLINIC LLC
Authorized official JASON KEIFER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/17/2012
Last updated 07/17/2012 - About 14 years ago
Identifiers
HI License # MD12987
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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