# KOLOA DPC LLC

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

## Provider details

- **NPI number:** 1538072814
- **Authorized official:** MOLLY REBECCA HEUBLEIN MD (MD)
- **Authorized official phone:** (802) 355-7479

## Contact information

- **Practice address:** 5460 KOLOA RD STE G2O2, KOLOA, HI 96756-9421
- **Practice address phone:** (802) 355-7479
- **Mailing address:** PO BOX 1887, KOLOA, HI 96756-1887
- **Mailing address phone:** (802) 355-7479
- **Mailing address fax:** (808) 309-6625

## Taxonomy

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

## Other

- **Enumeration date:** 09/25/2026
- **Last updated:** 09/25/2026