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Individual

DR. DARREL WAYN KILLEBREW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1 KAMANI STREET, PAHALA, HI 96777
(808) 928-2050
(808) 928-8980
Mailing address
15021 N 10TH ST, PHOENIX, AZ 85022-3739

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DOS-376
HI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
2066
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
263681
HMSA
HI
05
58799101
HI
Enumeration date
05/03/2006
Last updated
08/16/2007
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