| Ke'ena Mauliola Nele Paia Llc | |
|
615 Piikoi St Suite 511 Honolulu HI 96814-3116 | |
| (808) 593-7703 | |
| (808) 593-7703 |
| Full Name | Ke'ena Mauliola Nele Paia Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 615 Piikoi St, Honolulu, Hawaii |
| Authorized Official Name and Position | Jd Wailua Brandman (OWNER) |
| Authorized Official Contact | 8085937703 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ke'ena Mauliola Nele Paia Llc 615 Piikoi St Suite 511 Honolulu HI 96814-3116 Ph: (808) 593-7703 | Ke'ena Mauliola Nele Paia Llc 615 Piikoi St Suite 511 Honolulu HI 96814-3116 Ph: (808) 593-7703 |
| NPI Number | 1417122524 |
|---|---|
| Provider Enumeration Date | 04/29/2008 |
| Last Update Date | 07/23/2011 |
| Medicare PECOS PAC ID | 6507920485 |
|---|---|
| Medicare Enrollment ID | O20090122000234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417122524 | NPI | - | NPPES |
| 1336100049 | Other | NPI | |
| 25092001 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | APRN13 (Hawaii) | Primary |
| Provider Name | J D W Brandman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336100049 PECOS PAC ID: 0446273759 Enrollment ID: I20060112000106 |
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