Individual
DR. MELANIE KTH KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2230 LILIHA ST, EMERGENCY DEPARTMENT, HONOLULU, HI 96817-1646
(808) 547-6387
(808) 536-5340
Mailing address
2230 LILIHA ST, EMERGENCY DEPARTMENT, HONOLULU, HI 96817-1646
(808) 547-6387
(808) 536-5340
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5891
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02441903
—
HI
05
—
02441913
—
HI
05
—
02441914
—
HI
01
—
A008
TRICARE
HI
Enumeration date
02/27/2006
Last updated
06/10/2008
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