Organization
KEANUENUE PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASMINE WAIPA MD (PHYSICIAN-OWNER)
(808) 372-2477
Entity
Organization
Contact information
Practice address
615 PIIKOI ST STE 1501, HONOLULU, HI 96814-3142
(808) 600-2180
(808) 600-2199
Mailing address
707 10TH AVE, HONOLULU, HI 96816-2213
(808) 372-2477
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
688989
—
HI
Enumeration date
06/29/2020
Last updated
09/25/2021
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