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General NPI Number Information
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NPI Number | 1982360822
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Entity Type | Organization
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Legal Business Name | DR SMITH FAMILY MEDICINE, LLC
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Dates
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Enumeration Date | 11/15/2021
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 79-7266 MAMALAHOA HWY STE 3
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City | KEALAKEKUA
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State | HI
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Zip | 96750-7919
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Country | US
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Telephone | 808-769-8699
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Fax |
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Provider Business Mailing Address
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Address Line | 75-184 HUALALAI RD STE 205
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City | KAILUA KONA
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State | HI
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Zip | 96740-1719
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Country | US
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Telephone | 808-498-4827
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Fax | 808-762-1392
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Authorized Official
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Title or Position | COO
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Name | ESTHER Y SMITH
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Credential | M.D.
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Telephone | 808-498-4827
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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