Organization
KAUAI RESTORATIVE SPORTS MEDICINE
Active
Other names
KRSM
Organization subpart
No
Provider details
NPI number
Authorized official
GISELLE H GREGORIUS MSW, LSW (COS (CHIEF OF OTHER STUFF))
(808) 212-5100
Entity
Organization
Contact information
Practice address
2362 KIPUKA ST, KOLOA, HI 96756-9559
(808) 755-8000
(707) 806-0234
Mailing address
2362 KIPUKA ST, KOLOA, HI 96756-9559
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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