DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MS. KAZUE T JOHANSEN P.A.

MEDICARE: MS. KAZUE T JOHANSEN P.A.
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
1363AM0700XMedical Physician AssistantPA000064GU
2363AM0700XMedical Physician AssistantAMD421HI

General Provider Information

NPI Number : 1487623369
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KAZUE T JOHANSEN P.A.
Provider Business Mailing Address
First Line : 2180 MAIN ST
Second Line :
City : WAILUKU
State : HI
Zip : 96793-1625
Country : US
Telephone Number : 808-984-7419
Fax Number :
Provider Business Practice Location Address
First Line : 2180 MAIN ST
Second Line :
City : WAILUKU
State : HI
Zip : 96793-1625
Country : US
Telephone Number : 808-984-7419
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 05/25/2011

Similar Medicare Providers

1679578827 — JUDY L SCHMIDT M.D.
Practice Location Address:
2180 MAIN ST
WAILUKU, HI
96793-1625
Practice Phone: 808-242-6464
Practice Fax: 808-242-4292
1366427908 — DEYAA MOUNIR M.D.
Practice Location Address:
2180 MAIN ST
WAILUKU, HI
96793-1625
Practice Phone: 808-242-6464
Practice Fax: 808-242-4292
1558348359 — DR. DON L HALOUSKA M.D.
Practice Location Address:
2180 MAIN ST
WAILUKU, HI
96793-1625
Practice Phone: 808-242-6464
Practice Fax: 808-242-4210
1346228863 — DR. TAMARIN MCCARTIN
Practice Location Address:
2180 MAIN ST
WAILUKU, HI
96793-1625
Practice Phone: 808-242-6464
Practice Fax: 808-242-4292
1144290339 — DR. MARC DAVID ROSENTHAL M.D.
Practice Location Address:
2180 MAIN ST
WAILUKU, HI
96793-1625
Practice Phone: 808-242-6464
Practice Fax: 808-243-2365
1750359725 — DR. CALVIN A SELWYN MD
Practice Location Address:
2180 MAIN ST
WAILUKU, HI
96793-1625
Practice Phone: 808-242-6464
Practice Fax: 808-242-4233

Directions to “ MS. KAZUE T JOHANSEN P.A.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.