Provider Demographics
NPI:1922213156
Name:KAUAI FAMILY MEDICINE INC.
Entity Type:Organization
Organization Name:KAUAI FAMILY MEDICINE INC.
Other - Org Name:HANAPEPE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:C
Authorized Official - Last Name:SPEAR
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:808-335-5121
Mailing Address - Street 1:PO BOX 526
Mailing Address - Street 2:
Mailing Address - City:HANAPEPE
Mailing Address - State:HI
Mailing Address - Zip Code:96716-0526
Mailing Address - Country:US
Mailing Address - Phone:808-335-5121
Mailing Address - Fax:808-335-5355
Practice Address - Street 1:3897 HANAPEPE RD
Practice Address - Street 2:
Practice Address - City:HANAPEPE
Practice Address - State:HI
Practice Address - Zip Code:96716
Practice Address - Country:US
Practice Address - Phone:808-335-5121
Practice Address - Fax:808-335-5355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty