Organization
SKIN KAHALA LLC
Active
Parent organization
SKIN KAHALA LLC
Other names
Wound Care Hawaii
Organization subpart
Yes
Provider details
NPI number
Legal business name
SKIN KAHALA LLC
Authorized official
TARYN WRIGHT (PRACTICE MANAGER)
(808) 808-1324
Entity
Organization
Contact information
Practice address
4819 KILAUEA AVE STE 7, HONOLULU, HI 96816-5712
(310) 709-5492
(808) 808-1324
Mailing address
4819 KILAUEA AVE STE 7, HONOLULU, HI 96816-5712
(310) 709-5492
(808) 808-1324
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
06/14/2024
Last updated
09/30/2024
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