KAIDDEN KELLY

FIVE MOUNTAINS HAWAII, INC

Dr KAIDDEN KELLY is a male medical professional, specializing in Physician Assistant. He graduated in 2017.

Contact

FIVE MOUNTAINS HAWAII, INC

64-1035 MAMALAHOA HWY
SUITE F
KAMUELA
HI
967438440

Tel: 8088855900

KAIDDEN KELLY Information

Npi 1083124135
Pac Id 1759648249
Professional Enrollment Id I20171208002461
Last Name KELLY
First Name KAIDDEN
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2017
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name FIVE MOUNTAINS HAWAII, INC
Group Practice Pac Id 4880817840
Number Of Group Practice Members 3
Line 1 Street Address 64-1035 MAMALAHOA HWY
Line 2 Street Address SUITE F
Marker Of Address Line 2 Suppression
City KAMUELA
State HI
Zip Code 967438440
Phone Number 8088855900
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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