Ivey Plastic Surgery LLC

NPI #1205427861 in Kihei, Hawaii

Provider Information

NPI Number
1205427861
Entity Type
Organization
Organization Name
Ivey Plastic Surgery LLC
Primary Specialty
Plastic Surgery
Enumeration Date
Jan 27, 2021
Last Updated
Jan 27, 2021

Practice Location

Address
411 HUKU LII PL STE 303
City
Kihei
State
Hawaii
ZIP Code
96753-7062
Phone
(808) 877-7710

Authorized Official

Name
JON S IVEY, MD
Title
AUTHORIZED OFFICIAL
Phone
(843) 830-6479

Specialties & Taxonomy Codes

Specialty
Plastic Surgery

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