Provider First Line Business Practice Location Address:
KAUAI MEDICAL CLINIC - KAPAA CLINIC
Provider Second Line Business Practice Location Address:
4-1105B KUHIO HWY
Provider Business Practice Location Address City Name:
KAPAA
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96746
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-822-3431
Provider Business Practice Location Address Fax Number:
808-822-2798
Provider Enumeration Date:
03/27/2007