Organization
KAUAI PEDIATRICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERENCE JOHN CAROLAN MD (PRESIDENT)
(808) 245-8566
Entity
Organization
Contact information
Practice address
2978 HALEKO RD, LIHYE, HI 96766
(808) 245-8566
(808) 246-4989
Mailing address
2978 HALEKO RD, LIHYE, HI 96766
(808) 245-8566
(808) 246-4989
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
03145
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03906001
—
HI
Enumeration date
10/24/2006
Last updated
08/22/2020
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