Organization
KAI HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILYA VLADIMIR YEPISHIN D.O. (PRESIDENT)
(310) 408-2891
Entity
Organization
Contact information
Practice address
128 LEHUA ST, WAHIAWA, HI 96786-2036
(310) 408-2891
Mailing address
736 HAWAII ST APT A, HONOLULU, HI 96817-7327
(310) 408-2891
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
DOS-1673
HI
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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