Killebrew, Darrel Wayn

Killebrew, Darrel Wayn is an individual health care provider with primary practice located at 1 Kamani Street , Pahala HI 96777. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Killebrew, Darrel Wayn can be contacted via phone (808) 928-2050.

Contact Information

Primary practice address
1 Kamani Street Pahala HI 96777
Phone: (808) 928-2050
Fax: (808) 928-8980
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X DOS-376 Hawaii
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 2066 Arizona

Profile Details

NPI number 1033177605
LBN Legal business name Killebrew, Darrel Wayn
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Aug 16th, 2007 - about 18 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033177605 NPPES
Hawaii Other 263681 HMSA
Hawaii MEDICAID 58799101 HMSA

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