# SKIN KAHALA LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SKIN KAHALA LLC
- **Other names:** Wound Care Hawaii
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1881437168
- **Legal business name:** SKIN KAHALA LLC
- **Authorized official:** TARYN WRIGHT (PRACTICE MANAGER)
- **Authorized official phone:** (808) 808-1324

## Contact information

- **Practice address:** 4819 KILAUEA AVE STE 7, HONOLULU, HI 96816-5712
- **Practice address phone:** (310) 709-5492
- **Practice address fax:** (808) 808-1324
- **Mailing address:** 4819 KILAUEA AVE STE 7, HONOLULU, HI 96816-5712
- **Mailing address phone:** (310) 709-5492
- **Mailing address fax:** (808) 808-1324

## Taxonomy

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

## Other

- **Enumeration date:** 06/14/2024
- **Last updated:** 09/30/2024