| Organization Name: | KONA KOHALA HEALTH CARE SERVICES INC |
| NPI Number: | 1407928492 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD A. PEKALA (PRESIDENT) |
| Mailing Address: | 75-137 Hualalai Rd Kailua Kona |
| State: | HI US |
| Postal Code: | 967401703 |
| Phone Number: | 8083291346 |
| Fax Number: | 8083291575 |
| NPI Enumeration Date: | 11/14/2006 |
| NPI Last Update Date: | 09/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |