Individual
DR. KANANI KELLY DILCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
620 RANCH RD, REEDSPORT, OR 97467-1720
(541) 880-6331
Mailing address
PO BOX 305, HONOMU, HI 96728-0305
(541) 880-6331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD-16927
HI
207Q00000X
Family Medicine Physician
Primary
MD153584
OR
208M00000X
Hospitalist Physician
MD153584
OR
Other
Enumeration date
04/08/2009
Last updated
04/23/2025
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