# KAUAI MEDICAL CLINIC

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

## Provider details

- **NPI number:** 1376596643
- **Authorized official:** MR. DAVID OKABE (CFO, SR. VICE PRESIDENT)
- **Authorized official phone:** (808) 535-7202

## Contact information

- **Practice address:** 3-3420 KUHIO HWY, SUITE B, LIHUE, HI 96766-1098
- **Practice address phone:** (808) 245-1500
- **Practice address fax:** (808) 246-1625
- **Mailing address:** 1946 YOUNG ST, SUITE 320, HONOLULU, HI 96826-2169
- **Mailing address phone:** (808) 973-7320
- **Mailing address fax:** (808) 973-7325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 07/06/2016