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Organization

JON W. NAKAMURA, M.D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JON NAKAMURA M.D. (PRESIDENT)
(808) 246-6253
Entity
Organization

Contact information

Practice address
4374 KUKUI GROVE ST, SUITE # 102, LIHUE, HI 96766-2007
(808) 246-6253
(808) 245-7215
Mailing address
4374 KUKUI GROVE ST, SUITE # 102, LIHUE, HI 96766-2007
(808) 246-6253
(808) 245-7215

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
MD-6950
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00K009442-1
HMSA
HI
Enumeration date
08/23/2013
Last updated
08/23/2013
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