| Organization Name: | KEAUHOU URGENT CARE CENTER INCORPORATED |
| NPI Number: | 1851433924 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ILEANA SANCHEZ (OWNER) |
| Mailing Address: | 78-6831 Alii Dr Ste K9 Kailua Kona |
| State: | HI US |
| Postal Code: | 967402440 |
| Phone Number: | 8083222544 |
| Fax Number: | |
| NPI Enumeration Date: | 02/13/2007 |
| NPI Last Update Date: | 09/05/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD 11998 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |