Organization
WAIMEA PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLY KALEO CORREA APRN (OWNER)
(808) 756-0334
Entity
Organization
Contact information
Practice address
65-1298B KAWAIHAE RD STE 3, KAMUELA, HI 96743-7342
(808) 731-5003
(808) 731-4330
Mailing address
65-1298B KAWAIHAE RD STE 3, KAMUELA, HI 96743-7342
(808) 756-0334
(808) 731-4330
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
261QH0100X
Health Service Clinic/Center
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
10/12/2025
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