Kauai Osteopathic, Inc

Organization Active NPI Neuromusculoskeletal Medicine & OMM Physician · Koloa, HI

NPI 1720190929 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1720190929
Entity type
Organization (NPI type 2)
Primary specialty
Neuromusculoskeletal Medicine & OMM Physician 204D00000X
License
918 (HI)
Legal business name
KAUAI OSTEOPATHIC, INC
Practice address
3483 Weliweli Rd
Koloa, HI 96756-8546
Phone
(808) 742-1200
Fax
(808) 742-1206
NPI assigned
Sep 1, 2006
Organization subpart
No

Authorized official

Name
Lisa Chun, D.O. NPI 1336394881
Title
Owner/Physician
Phone
(808) 742-1200

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

3483 Weliweli Rd
Koloa, HI 96756
Phone (808) 742-1200

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician
Group: 193400000X SINGLE SPECIALTY GROUP
204D00000X 918 HI Yes

Addresses

Primary practice location

3483 Weliweli Rd
Koloa, HI 96756-8546

Mailing address

3483 Weliweli Rd
P.O. Box 817
Koloa, HI 96756-8546
Phone (808) 742-1200

Other identifiers

IdentifierTypeStateIssuer
23557-2OtherHIHMSA NON-PARTICIPATING NU

Other providers in Koloa, HI

All providers in Koloa, HI · Neuromusculoskeletal Medicine & OMM Physician in Hawaii

Sources for this page

Verify at the official NPI Registry.