Organization
MEDICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP IEE-LIAN KUO JR. M.D., PH.D. (PHYSICIAN)
(808) 523-1600
Entity
Organization
Contact information
Practice address
414 ULUNIU ST, KAILUA, HI 96734-2517
(808) 261-8345
(808) 262-5239
Mailing address
414 ULUNIU ST, KAILUA, HI 96734-2517
(808) 261-8345
(808) 262-5239
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
MD12315
HI
207R00000X
Internal Medicine Physician
MD12315
HI
261QM1300X
Multi-Specialty Clinic/Center
Primary
MD12315
HI
Other
Enumeration date
07/29/2006
Last updated
12/07/2007
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