Organization
KEVIN S WOOLLEY MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN S WOOLLEY MD (PRESIDENT)
(808) 531-1116
Entity
Organization
Contact information
Practice address
1329 LUSITANA STREET, SUITE 604, HONOLULU, HI 96813-2431
(808) 531-1116
(808) 524-7911
Mailing address
1329 LUSITANA STREET, SUITE 604, HONOLULU, HI 96813-2431
(808) 531-1116
(808) 524-7911
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD3378
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04564901
—
HI
Enumeration date
01/09/2007
Last updated
08/22/2020
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