Provider Demographics
NPI:1386704542
Name:KAANAPALI MEDICAL SERVICES INC
Entity type:Organization
Organization Name:KAANAPALI MEDICAL SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-667-7676
Mailing Address - Street 1:3350 LOWER HONOAPIILANI RD STE 211
Mailing Address - Street 2:
Mailing Address - City:LAHAINA
Mailing Address - State:HI
Mailing Address - Zip Code:96761-8404
Mailing Address - Country:US
Mailing Address - Phone:808-667-7676
Mailing Address - Fax:808-667-7678
Practice Address - Street 1:3350 LOWER HONOAPIILANI RD STE 211
Practice Address - Street 2:
Practice Address - City:LAHAINA
Practice Address - State:HI
Practice Address - Zip Code:96761-8404
Practice Address - Country:US
Practice Address - Phone:808-667-7676
Practice Address - Fax:808-667-7678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care