Whalio Doctors

NPI 1033394838

Jed a Groom, MD

Practitioner Family Medicine Physician Kamuela, HI

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
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MD4251 (HI)

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.