Healthcare Provider Details

I. General information

NPI: 1326113283
Provider Name (Legal Business Name): AMY B. HARPSTRITE, M.D., LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

642 ULUKAHIKI ST SUITE 205
KAILUA HI
96734-4400
US

IV. Provider business mailing address

642 ULUKAHIKI ST SUITE 205
KAILUA HI
96734-4400
US

V. Phone/Fax

Practice location:
  • Phone: 808-263-7340
  • Fax: 808-263-7339
Mailing address:
  • Phone: 808-263-7340
  • Fax: 808-263-7339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AMY B HARPSTRITE
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 808-263-7340