Individual
DR. BARRON D. ELLEBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
415 DAIRY RD STE D, KAHULUI, HI 96732-2348
(808) 877-3668
(808) 877-3248
Mailing address
415 DAIRY RD STE D, KAHULUI, HI 96732-2348
(808) 877-3668
(808) 877-3248
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
PO-224
HI
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD001069
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
825911
—
HI
05
—
849237270A
—
GA
Enumeration date
02/19/2007
Last updated
04/17/2019
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