NPI 1821409236

Facial808

Organisation Preferred Provider Organization Kailua-Kona, HI

Practice location

Address: 73-4520 Hawaii Belt Road, Kailua-Kona, HI 96740
Phone: (808) 457-0330

Authorised official

Name: Ellarene Kuuleialoha Vogelgesang
Title: Owner
Phone: (808) 457-0330

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence MAT 3913 (HI)

Other Preferred Provider Organization providers in Hawaii →

Registry record

NPI: 1821409236
Entity type: Organization
NPI issued: 20 May 2014
Record last updated: 20 May 2014

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.