Provider Demographics
NPI:1629316351
Name:KONA ANIMAL CARE INC.
Entity Type:Organization
Organization Name:KONA ANIMAL CARE INC.
Other - Org Name:KONA VETERINARY SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:JORDAN
Authorized Official - Suffix:
Authorized Official - Credentials:DVM
Authorized Official - Phone:808-325-6637
Mailing Address - Street 1:73-4730 OLD MAMALAHOA HWY
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-8636
Mailing Address - Country:US
Mailing Address - Phone:808-325-6637
Mailing Address - Fax:808-325-6638
Practice Address - Street 1:73-4730 OLD MAMALAHOA HWY
Practice Address - Street 2:
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-8636
Practice Address - Country:US
Practice Address - Phone:808-325-6637
Practice Address - Fax:808-325-6638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-31
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI491284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital