| Organization Name: | KAMUELA MEDICAL ASSOCIATES INC |
| NPI Number: | 1427135953 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLYNN NC VELASCO (ASST OFFICE MANAGER) |
| Mailing Address: | 64-1066 B Mamalahoa Hwy Kamuela |
| State: | HI US |
| Postal Code: | 96743 |
| Phone Number: | 8088856006 |
| Fax Number: | 8088850906 |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD4251 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |