| Kellie Wo Md Llc | |
|
1380 Lusitana St Ste 501 Honolulu HI 96813-2441 | |
| (808) 521-6030 | |
| (808) 521-6273 |
| Full Name | Kellie Wo Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1380 Lusitana St Ste 501, Honolulu, Hawaii |
| Authorized Official Name and Position | Kellie Wo (OWNER) |
| Authorized Official Contact | 8085216030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kellie Wo Md Llc 1380 Lusitana St Ste 501 Honolulu HI 96813-2441 Ph: (808) 521-6030 | Kellie Wo Md Llc 1380 Lusitana St Ste 501 Honolulu HI 96813-2441 Ph: (808) 521-6030 |
| NPI Number | 1932956968 |
|---|---|
| Provider Enumeration Date | 05/06/2024 |
| Last Update Date | 05/06/2024 |
| Medicare PECOS PAC ID | 5193264695 |
|---|---|
| Medicare Enrollment ID | O20240828003284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932956968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kellie Wo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043888282 PECOS PAC ID: 9638618135 Enrollment ID: I20240828003411 |
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