Organization
KULA HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NERISSA GAYLE GARRITY MBA (BUSINESS MANAGER)
(808) 876-4341
Entity
Organization
Contact information
Practice address
100 KEOKEA PL, KULA, HI 96790-7450
(808) 876-4331
(808) 876-4332
Mailing address
1585 KAPIOLANI BLVD. TEAM PRAXIS, ALA MOANA PACIFIC CENTER, SUITE 1800, HONOLULU, HI 96814-4500
(808) 948-9332
(808) 949-0483
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
HI
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
HI
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
12/01/2006
Last updated
01/29/2014
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