Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 1405 | SC |
NPI | 1003009804 |
---|---|
Provider Name | Jill Volk |
First Address | Kailua, HI 96734-2544 |
Second Address | Kailua, HI 96734-2544 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2007 |
Last Update Date | 27/03/2013 |