# MEDICAL CLINIC, INC.

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

## Provider details

- **NPI number:** 1144234402
- **Authorized official:** DR. PHILIP IEE-LIAN KUO JR. M.D., PH.D. (PHYSICIAN)
- **Authorized official phone:** (808) 523-1600

## Contact information

- **Practice address:** 414 ULUNIU ST, KAILUA, HI 96734-2517
- **Practice address phone:** (808) 261-8345
- **Practice address fax:** (808) 262-5239
- **Mailing address:** 414 ULUNIU ST, KAILUA, HI 96734-2517
- **Mailing address phone:** (808) 261-8345
- **Mailing address fax:** (808) 262-5239

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | MD12315 | HI | — |
| 207R00000X | Internal Medicine Physician | MD12315 | HI | — |
| 261QM1300X | Multi-Specialty Clinic/Center | MD12315 | HI | Yes |

## Other

- **Enumeration date:** 07/29/2006
- **Last updated:** 12/07/2007