# J NOHEA KAAWALOA MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124262894
- **Authorized official:** DR. JEREM NOHEA KAAWALOA M.D. (PRESIDENT)
- **Authorized official phone:** (808) 933-1120

## Contact information

- **Practice address:** 670 PONAHAWAI ST, SUITE 220, HILO, HI 96720-2660
- **Practice address phone:** (808) 933-1120
- **Practice address fax:** (808) 933-1125
- **Mailing address:** 670 PONAHAWAI ST, SUITE 220, HILO, HI 96720-2660
- **Mailing address phone:** (808) 933-1120
- **Mailing address fax:** (808) 933-1125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD-14077 | HI | Yes |

## Other

- **Enumeration date:** 04/27/2009
- **Last updated:** 06/19/2009