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Organization

BRAUN URGENT CARE KAILUA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHANE J MILLARD PA-C (OWNER)
(808) 261-4411
Entity
Organization

Contact information

Practice address
130 KAILUA RD STE 111, KAILUA, HI 96734-3420
(808) 261-4411
(808) 466-3354
Mailing address
130 KAILUA RD STE 111, KAILUA, HI 96734-3420
(808) 261-4411
(808) 466-3354

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
MD9545
HI
261QU0200X
Urgent Care Clinic/Center
Primary
363A00000X
Physician Assistant
AMD240
HI
363LF0000X
Family Nurse Practitioner
APRN1844
HI
363LF0000X
Family Nurse Practitioner
APRN380
HI
363LF0000X
Family Nurse Practitioner
APRN62
HI

Other

Enumeration date
02/24/2015
Last updated
05/12/2026
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