Organization
ALOHA PAIN SPORTS & SPINE MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERREY L. BARTON TAYLOR DO (VICE-PRESIDENT)
(808) 261-7246
Entity
Organization
Contact information
Practice address
407 ULUNIU ST, SUITE 201, KAILUA, HI 96734-2519
(808) 261-7246
(808) 261-7248
Mailing address
407 ULUNIU ST, SUITE 201, KAILUA, HI 96734-2519
(808) 261-7246
(808) 261-7248
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
DOS1153
HI
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
MD14322
HI
Other
Enumeration date
02/07/2010
Last updated
06/07/2010
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