# NAHALE FAMILY CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nahale Family Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013598200
- **Authorized official:** JEANNIE CLEMENT (CEO)
- **Authorized official phone:** (801) 706-6726

## Contact information

- **Practice address:** 77-6403 NALANI ST UNIT 1, KAILUA KONA, HI 96740-9763
- **Practice address phone:** (808) 376-1665
- **Mailing address:** PO BOX 28, KAILUA KONA, HI 96745
- **Mailing address phone:** (801) 706-6726

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/19/2021
- **Last updated:** 04/19/2021