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NPI Code Detail

MEDICARE: JOHN KAMAUOHA

MEDICARE: JOHN KAMAUOHA
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1598979106
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN KAMAUOHA
Provider Business Mailing Address
First Line : 43335 KALIFORNSKY BEACH RD STE 36
Second Line :
City : SOLDOTNA
State : AK
Zip : 99669-8280
Country : US
Telephone Number : 907-262-6331
Fax Number : 907-262-6294
Provider Business Practice Location Address
First Line : 43335 KALIFORNSKY BEACH RD STE 36
Second Line :
City : SOLDOTNA
State : AK
Zip : 99669-8280
Country : US
Telephone Number : 907-262-6331
Fax Number : 907-262-6294
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2007
Last Update Date : 07/08/2007

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Directions to “ JOHN KAMAUOHA ” Practice Location

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