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Organization
KAHALA CLINIC LLC
Active
Organization
KAHALA CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON RICHARD KEIFER M.D. (OWNER)
(808) 542-7349
Entity
Organization
Contact information
Practice address
4211 WAIALAE AVE, SUITE 207, HONOLULU, HI 96816-5319
(808) 542-7349
Mailing address
4211 WAIALAE AVE, SUITE 207, HONOLULU, HI 96816-5319
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD12987
HI
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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