| Ka Wai Ola Medical Clinic Llc | |
|
16-590 Old Volcano Rd Ste. A Keaau HI 96749-8158 | |
| (808) 796-0168 | |
| Not Available |
| Full Name | Ka Wai Ola Medical Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 16-590 Old Volcano Rd, Keaau, Hawaii |
| Authorized Official Name and Position | Leilani Kerr (OWNER) |
| Authorized Official Contact | 8087960168 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ka Wai Ola Medical Clinic Llc 1695 Auwae Rd Hilo HI 96720-6908 Ph: (808) 796-0168 | Ka Wai Ola Medical Clinic Llc 16-590 Old Volcano Rd Ste. A Keaau HI 96749-8158 Ph: (808) 796-0168 |
| NPI Number | 1487102877 |
|---|---|
| Provider Enumeration Date | 09/14/2016 |
| Last Update Date | 09/14/2016 |
| Medicare PECOS PAC ID | 3577841154 |
|---|---|
| Medicare Enrollment ID | O20161102001335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487102877 | NPI | - | NPPES |
| 11105633 | Other | HI | MEDICARE PTAN |
| 00A0324531 | Other | HI | HMSA PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | APRN-1450 (Hawaii) | Primary |
| Provider Name | Leilani Cs Kerr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285982876 PECOS PAC ID: 4981836921 Enrollment ID: I20140407000816 |
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