NPI 1083124135

Kaidden Kelly, DMSCPAC

Practitioner Physician Assistant Kailua Kona, HI

Practice location

Address: 75-184 Hualalai Rd STE 302, Kailua Kona, HI 96740-1719
Phone: (808) 329-0111
Fax: (808) 365-5811

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence AMD-785 (HI)

Other Physician Assistant providers in Hawaii →

Registry record

NPI: 1083124135
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Oct 2017
Record last updated: 30 Sep 2024

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.