Organization · Type 2 NPI
Foot Care Clinic LLC
Gerontology Nurse Practitioner · Kailua Kona, HI
NPI number
1750418232
Active
Practice location
71-1411 Puu Kamanu Ln, #82
Kailua Kona, HI 96740-8334
Fax (808) 325-1035
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Enterostomal Therapy Registered Nurse | 163WE0900X | None listed |
| Health Service Clinic/Center | 261QH0100X | None listed |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 788 (HI) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1750418232
Foot Care Clinic LLC's National Provider Identifier is 1750418232, issued on Feb 28, 2007. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Kailua Kona, HI. The record was last updated on Oct 26, 2010.