Organization · NPI-2

Adelante Health Maui

Family Medicine · Kihei, HI

NPI number1255089157
StatusActive
Last updated in NPPESMar 10, 2022

Details

NPI
1255089157
Entity type
Organization (NPI-2)
Legal business name
Adelante Health Maui
Organization subpart
No
Enumeration date
Mar 10, 2022
Certification date
Mar 10, 2022
Last updated
Mar 10, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

161 Wailea Ike Pl
Kihei, HI 96753-6521

Phone 209-648-4043

Mailing address

290 Kai Malu Dr
Wailea, HI 96753-6516

Phone 209-648-4043

Authorized official

Kathleen Kearns
Owner
2096484043

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