Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Koa Clinic, Inc

Organization General Practice Physician · NPI 1528576436

Koa Clinic, Inc is a General Practice Physician in Kailua Kona, Hawaii. Licensed in Hawaii. Registered with an NPI since 2018.

Licensed in
HI
In the registry since
2018
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

75-5995 Kuakini Hwy Ste 213
Kailua Kona, HI 96740-2120
Phone: (808) 638-3343
Fax: (844) 308-3545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 258 (HI)
General Practice Physician Taxonomy 208D00000X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1528576436
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Corinne Maul De Soto — President · (808) 638-3343
Other names Koa Clinic Of Integrative Healing
NPI enumeratedJanuary 12, 2018
Last updated in NPPESJuly 3, 2024
Certification dateSeptember 6, 2023
Mailing address75-5995 Kuakini Hwy Ste 213, Kailua Kona, HI 96740-2120

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