Organization Name: | KAUAI HOLISTIC MEDICINE INC. |
NPI Number: | 1184833709 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS R YAREMA (PRESIDENT) |
Mailing Address: | 4504 Kukui St Suite 13 Kapaa |
State: | HI US |
Postal Code: | 967461701 |
Phone Number: | 8088230994 |
Fax Number: | 8088230995 |
NPI Enumeration Date: | 05/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD9581 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |