Individual
DR. KAIDDEN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMSC, PA-C
Contact information
Practice address
75-184 HUALALAI RD STE 302, KAILUA KONA, HI 96740-1719
(808) 329-0111
(808) 365-5811
Mailing address
75-184 HUALALAI RD STE 302, KAILUA KONA, HI 96740-1719
(808) 329-0111
(808) 365-5811
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AMD-785
HI
Other
Enumeration date
10/03/2017
Last updated
09/30/2024
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