# ALOHA PAIN SPORTS & SPINE MEDICINE LLC

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

## Provider details

- **NPI number:** 1841522471
- **Authorized official:** DR. KERREY L. BARTON TAYLOR DO (VICE-PRESIDENT)
- **Authorized official phone:** (808) 261-7246

## Contact information

- **Practice address:** 407 ULUNIU ST, SUITE 201, KAILUA, HI 96734-2519
- **Practice address phone:** (808) 261-7246
- **Practice address fax:** (808) 261-7248
- **Mailing address:** 407 ULUNIU ST, SUITE 201, KAILUA, HI 96734-2519
- **Mailing address phone:** (808) 261-7246
- **Mailing address fax:** (808) 261-7248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | DOS1153 | HI | Yes |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | MD14322 | HI | — |

## Other

- **Enumeration date:** 02/07/2010
- **Last updated:** 06/07/2010