Organization
MAUI FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IVY LOU HIBBITT APRN (CEO/ MEDICAL DIRECTOR)
(808) 212-8787
Entity
Organization
Contact information
Practice address
285 W KAAHUMANU AVE STE 205, KAHULUI, HI 96732-1623
(808) 351-2865
(914) 222-8916
Mailing address
26 HOKU PUHIPAKA ST, KAHULUI, HI 96732-4527
(808) 212-8787
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/26/2020
Last updated
08/12/2020
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