Correa, Carly Kaleo
Correa, Carly Kaleo is an individual health care provider with primary practice located at 65-1298B Kawaihae Rd Ste 3 , Kamuela HI 96743-7342. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Correa, Carly Kaleo can be contacted via phone (808) 731-5003.Contact Information
Primary practice address
65-1298B Kawaihae Rd Ste 3
Kamuela HI 96743-7342
Phone: (808) 731-5003
Fax: (808) 731-4330
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN-2394 | Hawaii |
Profile Details
NPI number | 1992206973 |
---|---|
LBN Legal business name | Correa, Carly Kaleo |
Credentials | APRN-RX |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 23rd, 2018 |
Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1992206973 | NPPES |
Other | 14214954 | CAQH | |
Other | APRN2394 | CAQH |
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