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Organization
KOLOA DPC LLC
Active
Organization
KOLOA DPC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY REBECCA HEUBLEIN MD (MD)
(802) 355-7479
Entity
Organization
Contact information
Practice address
5460 KOLOA RD STE G2O2, KOLOA, HI 96756-9421
(802) 355-7479
Mailing address
PO BOX 1887, KOLOA, HI 96756-1887
(802) 355-7479
(808) 309-6625
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/25/2026
Last updated
09/25/2026
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