Provider Demographics
NPI:1336594704
Name:PUAA, KAPAAKEA CHARLES (MD)
Entity Type:Individual
Prefix:DR
First Name:KAPAAKEA
Middle Name:CHARLES
Last Name:PUAA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:45 MOHOULI ST
Mailing Address - Street 2:HAWAII ISLAND FAMILY MEDICINE RESIDENCY
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720
Mailing Address - Country:US
Mailing Address - Phone:808-932-3186
Mailing Address - Fax:808-932-4304
Practice Address - Street 1:45 MOHOULI ST
Practice Address - Street 2:HAWAII ISLAND FAMILY MEDICINE RESIDENCY
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720
Practice Address - Country:US
Practice Address - Phone:808-932-3186
Practice Address - Fax:808-932-4304
Is Sole Proprietor?:No
Enumeration Date:2016-05-04
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program