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Organization

ISLAND PAIN AND REGENERATIVE MEDICINE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELSEY ENNILA DC (OWNER)
(808) 753-8593
Entity
Organization

Contact information

Practice address
327 KINOOLE ST, HILO, HI 96720-2918
(808) 766-3376
Mailing address
327 KINOOLE ST, HILO, HI 96720-2918
(808) 766-3376

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary

Other

Enumeration date
04/09/2026
Last updated
04/09/2026
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