MEDICARE: DAMON KOBEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1104199181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAMON KOBEY

Provider Business Mailing Address
First Line	:	91-1841 FORT WEAVER RD
Second Line	:
City	:	EWA BEACH
State	:	HI
Zip	:	96706-1909
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1045 KILAUEA AVE
Second Line	:	#A
City	:	HILO
State	:	HI
Zip	:	96720-4291
Country	:	US
Telephone Number	:	808-935-2188
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2012
Last Update Date	:	07/08/2015

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Directions to “ DAMON KOBEY ” Practice Location

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