# KE OLA MAMO

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

## Provider details

- **NPI number:** 1700979531
- **Authorized official:** SHAMI RAFANAN (MEDICAL BILLER)
- **Authorized official phone:** (808) 440-6852

## Contact information

- **Practice address:** 321 N KUAKINI ST STE 308, HONOLULU, HI 96817-2360
- **Practice address phone:** (808) 440-6852
- **Practice address fax:** (808) 440-6878
- **Mailing address:** 680 IWILEI RD STE 500, HONOLULU, HI 96817-5389
- **Mailing address phone:** (808) 440-6852
- **Mailing address fax:** (808) 440-6878

## Taxonomy

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

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 01/13/2023