Organization
SILVERSAGE PHYSICIAN SERVICES OF HAWAII, PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH L. SCOTT D.O, (PRESIDENT)
(423) 815-1605
Entity
Organization
Contact information
Practice address
78-6957 KAMEHAMEHA III RD, KAILUA KONA, HI 96740-2528
(808) 322-2528
Mailing address
PO BOX 22484, CHATTANOOGA, TN 37422-2484
(423) 815-1600
(423) 763-1118
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
08/09/2016
Last updated
08/31/2016
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