OrganizationActive
Main Street Pediatrics LLC
NPI 1821771353 · Primary Care Clinic/Center · Kamuela, HI
Provider details
- NPI number
- 1821771353
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jana Mullen, Owner(505) 690-3562
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
64-1061 Mamalahoa Hwy Apt 203
Kamuela, HI 96743-8480
Phone: (808) 333-5855
Fax: (808) 333-5855
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 485
Paauilo, HI 96776-0485
Registry dates
- Enumerated
- 2023-08-10
- Last updated
- 2023-08-10
- Certified
- 2023-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.