| Organization Name: | BRAUN URGENT CARE KAILUA LLC |
| NPI Number: | 1558753749 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHANE MILLARD (OWNER) |
| Mailing Address: | 130 Kailua Rd Suite 111 Kailua |
| State: | HI US |
| Postal Code: | 967343420 |
| Phone Number: | 8082614411 |
| Fax Number: | 8082613322 |
| NPI Enumeration Date: | 02/24/2015 |
| NPI Last Update Date: | 02/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD9545 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | HI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |