Organization
IVEY PLASTIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON S IVEY MD (AUTHORIZED OFFICIAL)
(843) 830-6479
Entity
Organization
Contact information
Practice address
411 HUKU LII PL STE 303, KIHEI, HI 96753-7062
(808) 877-7710
(808) 877-7480
Mailing address
LOCKBOX 5799 PO BOX 31000, HONOLULU, HI 96849-5799
(808) 877-7710
(808) 877-7480
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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