Organization Name: | KINESIS HAWAII INC. |
NPI Number: | 1831371830 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NICOLAS MYRIANTHIS (PRESIDENT/ CEO) |
Mailing Address: | 15-2866 Government Main Road Pahoa Village Center Pahoa |
State: | HI US |
Postal Code: | 96778 |
Phone Number: | 8089650880 |
Fax Number: | 8089650770 |
NPI Enumeration Date: | 11/30/2007 |
NPI Last Update Date: | 11/30/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 473 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |