| Koloa Dpc LLC | |
|
5460 Koloa Rd Ste G2o2 Koloa HI 96756-9421 | |
| (802) 355-7479 | |
| Not Available |
| Full Name | Koloa Dpc LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 5460 Koloa Rd Ste G2o2, Koloa, Hawaii |
| Authorized Official Name and Position | Molly Rebecca Heublein (MD) |
| Authorized Official Contact | 8023557479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Koloa Dpc LLC Po Box 1887 Koloa HI 96756-1887 Ph: (802) 355-7479 | Koloa Dpc LLC 5460 Koloa Rd Ste G2o2 Koloa HI 96756-9421 Ph: (802) 355-7479 |
| NPI Number | 1538072814 |
|---|---|
| Provider Enumeration Date | 09/25/2026 |
| Last Update Date | 09/25/2026 |
| Certification Date | 09/25/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538072814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
Hhsc - Kauai Region Clinics Urgent Care at Poipu Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2829 Ala Kalani Kaumaka St Ste B-201, Koloa, HI 96756 Phone: 808-742-0999 Fax: 808-742-0990 |