Provider Demographics
NPI:1851850853
Name:ZELKO, LAYLAH ROSE (MD)
Entity type:Individual
Prefix:
First Name:LAYLAH
Middle Name:ROSE
Last Name:ZELKO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78-6831 ALII DR STE 422
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-5402
Mailing Address - Country:US
Mailing Address - Phone:808-747-8321
Mailing Address - Fax:
Practice Address - Street 1:78-6831 ALII DR STE 422
Practice Address - Street 2:
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-5402
Practice Address - Country:US
Practice Address - Phone:808-747-8321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-19
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-24309208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery