Organization
MEDSTREAM ANESTHESIA HAWAII, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH R ELLINGTON MD (PRESIDENT)
(828) 398-5244
Entity
Organization
Contact information
Practice address
67-1125 MAMALAHOA HWY, KAMUELA, HI 96743-8496
(828) 398-5244
(828) 398-5223
Mailing address
76 PEACHTREE RD STE 300, ASHEVILLE, NC 28803-3505
(828) 210-9386
(828) 210-9388
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
06/17/2015
Last updated
07/30/2020
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