NPI 1205427861
Ivey Plastic Surgery LLC
Practice location
- Address
- 411 Huku Lii Pl STE 303, Kihei, HI 96753-7062
- Phone
- (808) 877-7710
- Fax
- (808) 877-7480
- Mailing address
- Lockbox 5799 PO Box 31000, Honolulu, HI 96849-5799
Authorised official
- Name
- Jon S Ivey
- Title
- Authorized Official
- Phone
- (843) 830-6479
Registered specialties
Plastic Surgery Physician
Primary
Registry record
- NPI
- 1205427861
- Entity type
- Organization
- NPI issued
- 27 Jan 2021
- Record last updated
- 27 Jan 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.