Organization · NPI-2

Charles H Ballard INC

Family Medicine · Kihei, HI

NPI number1508001686
StatusActive
Last updated in NPPESDec 3, 2008

Details

NPI
1508001686
Entity type
Organization (NPI-2)
Legal business name
Charles H Ballard INC
Organization subpart
No
Enumeration date
Dec 3, 2008
Last updated
Dec 3, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineDOS735HIYes

Practice location

2439 S Kihei Rd
Suite 206a
Kihei, HI 96753-7283

Phone 808-891-6001 · Fax 808-891-1006

Mailing address

2439 S Kihei Rd
Suite 206a
Kihei, HI 96753-7283

Phone 808-891-6001 · Fax 808-891-1006

Authorized official

Charles H Ballard
Owner
8088916001

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Kihei, HI