Maui Kidney Disease, INC.
Internal Medicine, Nephrology in Kihei, HI. Organization (NPI-2).
NPI number1194909986
StatusActive
Last updated in NPPESMar 11, 2021
Details
- NPI
- 1194909986
- Entity type
- Organization (NPI-2)
- Legal business name
- Maui Kidney Disease, INC.
- Organization subpart
- No
- Enumeration date
- Dec 28, 2007
- Certification date
- Mar 11, 2021
- Last updated
- Mar 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | – | – | Yes |
Practice location
567 Kupulau DrKihei, HI 96753-6316
Phone 808-280-9638 · Fax 844-342-7003
Mailing address
Po Box 811Kihei, HI 96753-0811
Phone 808-280-9638 · Fax 844-342-7003
Other practice locations
Authorized official
Loma Harrison Hassell
President
8082809638
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