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NPI Code Detail

MEDICARE: TRACE KALEI

MEDICARE: TRACE KALEI
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
1207Q00000XFamily Medicine PhysicianMDR-8112HI

General Provider Information

NPI Number : 1699343590
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACE KALEI
Provider Business Mailing Address
First Line : 45 MOHOULI ST
Second Line :
City : HILO
State : HI
Zip : 96720-7210
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 45 MOHOULI ST
Second Line :
City : HILO
State : HI
Zip : 96720-7210
Country : US
Telephone Number : 808-935-3781
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2021
Last Update Date : 01/15/2026

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Directions to “ TRACE KALEI ” Practice Location

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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.

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