Organization
KAUAI OSTEOPATHIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA CHUN D.O. (OWNER/PHYSICIAN)
(808) 742-1200
Entity
Organization
Contact information
Practice address
3483 WELIWELI RD, KOLOA, HI 96756-8546
(808) 742-1200
(808) 742-1206
Mailing address
3483 WELIWELI RD, P.O. BOX 817, KOLOA, HI 96756-8546
(808) 742-1200
(808) 742-1206
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
918
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23557-2
HMSA NON-PARTICIPATING NU
HI
Enumeration date
09/01/2006
Last updated
08/22/2020
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