Organization
SILVERSAGE PHYSICIAN SERVICES OF HAWAII, PROFESSIONAL CORPORATION
Active
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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