Organization Name: | PAUL A. KAIWI, JR. MD INC |
NPI Number: | 1356511810 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHAWN MICHELLE KAIWI (DIRECTOR) |
Mailing Address: | 444 Hana Hwy Suite 201 Kahului |
State: | HI US |
Postal Code: | 967322315 |
Phone Number: | 8088776333 |
Fax Number: | 8088777100 |
NPI Enumeration Date: | 03/11/2008 |
NPI Last Update Date: | 05/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD 13020 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |