| Organization Name: | MENEHUNE MEDICAL, LLC |
| NPI Number: | 1134530694 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ERIK COX (CO-OWNER) |
| Mailing Address: | 74-5563 Kaiwi St Ste 32 Kailua Kona |
| State: | HI US |
| Postal Code: | 967403139 |
| Phone Number: | 8084646210 |
| Fax Number: | |
| NPI Enumeration Date: | 05/17/2014 |
| NPI Last Update Date: | 02/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APRN-1720 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |