Kauai Pediatrics Inc
Organization Active NPI Developmental - Behavioral Pediatrics Physician · Lihye, HI
NPI 1891879151 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1891879151
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmental - Behavioral Pediatrics Physician 2080P0006X
- License
- 03145 (HI)
- Legal business name
- KAUAI PEDIATRICS INC
- Practice address
- 2978 Haleko Rd
Lihye, HI 96766 - Phone
- (808) 245-8566
- Fax
- (808) 246-4989
- NPI assigned
- Oct 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Terence John Carolan, MD
- Title
- President
- Phone
- (808) 245-8566
Practitioners 1
-
Terence John Carolan, M.D.
National Provider Directory
Locations
2978 Haleko Rd
Lihue, HI 96766
Phone (808) 245-7100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician |
2080P0006X | 03145 | HI | Yes |
Addresses
Primary practice location
2978 Haleko Rd
Lihye, HI 96766
Mailing address
2978 Haleko Rd
Lihye, HI 96766
Phone (808) 245-8566
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03906001 | Medicaid | HI |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.