Individual
DR. KELLY MARI WACHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
65-1230 MAMALAHOA HWY, SUITE C21, KAMUELA, HI 96743-8318
(808) 887-0033
(808) 887-0035
Mailing address
65-1230 MAMALAHOA HWY, SUITE C21, KAMUELA, HI 96743-8318
(808) 887-0033
(808) 887-0035
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD-13891
HI
207RR0500X
Rheumatology Physician
Primary
MD-13891
HI
Other
Enumeration date
06/19/2007
Last updated
10/27/2009
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