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General NPI Number Information
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NPI Number | 1295082394
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Entity Type | Organization
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Legal Business Name | JANICE K. FRIEND, M.D., INC.
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Dates
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Enumeration Date | 08/07/2012
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Last Update Date | 08/07/2012
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Provider Practice Location Address
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Address Line | 970 N KALAHEO AVE C314
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City | KAILUA
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State | HI
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Zip | 96734-1866
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Country | US
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Telephone | 808-254-9594
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Fax | 808-254-9519
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Provider Business Mailing Address
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Address Line | 970 N KALAHEO AVE C314
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City | KAILUA
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State | HI
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Zip | 96734-1866
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Country | US
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Telephone | 808-254-9594
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Fax | 808-254-9519
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | JANICE K. FRIEND
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Credential | M.D.
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Telephone | 808-254-9594
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD5337
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License Number State | HI
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