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General NPI Number Information
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NPI Number | 1801592498
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Entity Type | Organization
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Legal Business Name | KL MEDICAL SERVICES
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Dates
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Enumeration Date | 02/06/2023
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Last Update Date | 05/08/2024
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Provider Practice Location Address
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Address Line | 275 PONAHAWAI ST STE 101
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City | HILO
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State | HI
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Zip | 96720-3074
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Country | US
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Telephone | 808-657-4013
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Fax |
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Provider Business Mailing Address
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Address Line | 27-2470 KAHALA PL
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City | HILO
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State | HI
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Zip | 96720-2277
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Country | US
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Telephone | 808-657-4013
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KYLE CABISON
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Credential | MD
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Telephone | 808-657-4013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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