Provider Demographics
NPI:1801592498
Name:KL MEDICAL SERVICES
Entity type:Organization
Organization Name:KL MEDICAL SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CABISON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-657-4013
Mailing Address - Street 1:27-2470 KAHALA PL
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-2277
Mailing Address - Country:US
Mailing Address - Phone:808-657-4013
Mailing Address - Fax:
Practice Address - Street 1:275 PONAHAWAI ST STE 101
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-3074
Practice Address - Country:US
Practice Address - Phone:808-657-4013
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KL MEDICAL SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-02-06
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty