NPI 1033394838
Jed a Groom, MD
Practice location
- Address
- 64-1066 Mamalahoa Hwy Unit B, Kamuela, HI 96743-7309
- Phone
- (808) 885-6006
- Fax
- (808) 885-0906
- Mailing address
- 64-1066 B Mamalahoa Hwy., Kamuela, HI 96743-8425
Registered specialties
Family Medicine Physician
Primary
Registry record
- NPI
- 1033394838
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 31 Dec 2007
- Record last updated
- 31 Dec 2007
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.