Individual
BARBARA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
280 HOME OLU STREET, KAUNAKAKAI, HI 96748-0408
(808) 553-3123
Mailing address
HC 01 BOX 541, UNIT B 103, KAUNAKAKAI, HI 96748
(808) 558-8961
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD-13182
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4140166
UHA
HI
05
—
570368
—
HI
01
—
MD13182
MDX
HI
Enumeration date
10/26/2006
Last updated
07/09/2007
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