# KULA HOSPITAL

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

## Provider details

- **NPI number:** 1437227287
- **Authorized official:** MRS. NERISSA GAYLE GARRITY MBA (BUSINESS MANAGER)
- **Authorized official phone:** (808) 876-4341

## Contact information

- **Practice address:** 100 KEOKEA PL, KULA, HI 96790-7450
- **Practice address phone:** (808) 876-4331
- **Practice address fax:** (808) 876-4332
- **Mailing address:** 1585 KAPIOLANI BLVD. TEAM PRAXIS, ALA MOANA PACIFIC CENTER, SUITE 1800, HONOLULU, HI 96814-4500
- **Mailing address phone:** (808) 948-9332
- **Mailing address fax:** (808) 949-0483

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | HI | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | HI | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 01/29/2014
