Kaleo Emmsley
Individual provider Active NPI Driver · Aiea, HI
NPI 1053974329 · NPPES record last updated Apr 22, 2019
Key facts
- NPI
- 1053974329
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 99-1225 Aiea Hieghts Drive
Aiea, HI 96701 - Phone
- (808) 457-2642
- NPI assigned
- Apr 22, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emmsley LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Yes |
Addresses
Primary practice location
99-1225 Aiea Hieghts Drive
Aiea, HI 96701
Mailing address
99-1225 Aiea Hieghts Drive
Aiea, HI 96701
Phone (808) 457-2642
Other providers in Aiea, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.