Organization
KAUAI DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CORINA E POTTER (OFFICE MANAGER)
(808) 246-6904
Entity
Organization
Contact information
Practice address
4366 KUKUI GROVE ST, SUITE 201, LIHUE, HI 96766-2006
(808) 246-6904
(808) 246-6081
Mailing address
4366 KUKUI GROVE ST, SUITE 201, LIHUE, HI 96766-2006
(808) 246-6904
(808) 246-6081
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/13/2008
Last updated
05/29/2008
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