Organization
PSYCHIATRIC CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILI KELLY MD (OWNER)
(808) 664-1104
Entity
Organization
Contact information
Practice address
928 NUUANU AVE, SUITE LL2, HONOLULU, HI 96817-5190
(808) 538-2800
(808) 536-2024
Mailing address
PO BOX 37862, HONOLULU, HI 96837-0862
(808) 664-1104
(866) 592-3149
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD 13434
HI
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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