Organization
KAISER FOUNDATION HEALTH PLAN
Active
Other names
Kaiser Wailuku Clinic Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES G. ADAMS JR. (EXECUTIVE DIRECTOR, FINANCE LEADER)
(808) 286-6765
Entity
Organization
Contact information
Practice address
80 MAHALANI ST, RADIOLOGY DEPARTMENT, WAILUKU, HI 96793-2531
(808) 243-6517
(808) 243-6634
Mailing address
711 KAPIOLANI BLVD, BILLING DEPARTMENT, HONOLULU, HI 96813-5214
(808) 432-5312
(808) 432-5239
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
174516
HI
Other
Enumeration date
09/12/2006
Last updated
11/10/2020
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