Individual provider · NPI-1
Dr. Diane Coulter, M.D.
Clinic/Center, Urgent Care · Kihei, HI
NPI number1154767069
StatusActive
Last updated in NPPESNov 1, 2020
Details
- NPI
- 1154767069
- Entity type
- Individual (NPI-1)
- Name
- Dr. Diane Coulter
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 17, 2013
- Certification date
- Nov 1, 2020
- Last updated
- Nov 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QU0200X | Clinic/Center, Urgent Care | MD-14101 | HI | Yes |
| 207P00000X | Emergency Medicine | MD14101 | HI | |
| 207Q00000X | Family Medicine | MD14101 | HI |
Practice location
1325 S Kihei Rd Ste 103Kihei, HI 96753-8145
Phone 808-667-6161
Mailing address
270 Dairy Rd Ste 239Kahului, HI 96732-2986
Phone 808-667-6161 · Fax 877-664-0133
Other practice locations
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