Keely Kopp (NPI# 1356506190, PAC ID# 0143397349) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1356506190 |
| PAC ID by PECOS | 0143397349 |
| Professional Enrollment ID | I20131111000368 |
| Full Name | Keely Kopp |
| Organization Legal Name | MAUI MEDICAL GROUP INC |
| Address |
55 Pukalani St Makawao HI 96768-8544 |
| Phone Number | 8085736200 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7214823368 |
| Number of Group Practice Members | 77 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 55 Pukalani St, Makawao, HI 96768-8544 | 8085736200 | MAUI MEDICAL GROUP INC |
| 2180 Main St, Wailuku, HI 96793-1625 | 8082426464 | MAUI MEDICAL GROUP INC |
| Organization Legal Name | MAUI MEDICAL GROUP INC |
| Physicians | 80 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Laura Graves | Physician Assistant | Maui Medical Group Inc | 110 E Kaahumanu Ave, Kahului, HI 96732-2118 |
| Maxi L Lohrengel West | Physician Assistant | Maui Medical Group Inc | 2349 S Kihei Rd, Kihei, HI 96753-7202 |
| Judy Lavenson | Physician Assistant | Maui Medical Group Inc | 130 Prison St, Lahaina, HI 96761-1247 |
| Lundie Robb | Diagnostic Radiology | Maui Medical Group Inc | 2180 Main St, Wailuku, HI 96793-1625 |
| Deborah Mathias | General Practice | Maui Medical Group Inc | 55 Pukalani St, Makawao, HI 96768-8544 |
| Dara M Vino | Physician Assistant | Maui Medical Group Inc | 2180 Main St, Wailuku, HI 96793-1625 |
| Ioannis Karakalpakis | Internal Medicine | Maui Medical Group Inc | 221 Mahalani St, Wailuku, HI 96793-2526 |
| Nolan P Arruda | Internal Medicine | Maui Medical Group Inc | 2180 Main St, Wailuku, HI 96793-1625 |
| Shannon Leigh Mccormick | Qualified Audiologist | Maui Medical Group Inc | 2180 Main St, Wailuku, HI 96793-1625 |
| Anna Hom | Internal Medicine | Maui Medical Group Inc | 2180 Main St, Wailuku, HI 96793-1625 |
| Street Address |
55 PUKALANI ST |
| City | MAKAWAO |
| State | HI |
| Zip | 96768-8544 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah Mathias | General Practice | Maui Medical Group Inc | 55 Pukalani St, Makawao, HI 96768-8544 |
| Dana L Thomason-greer | Physician Assistant | Maui Medical Group Inc | 55 Pukalani St, Makawao, HI 96768-8544 |
| Ma Rosario C Guzman | Family Medicine | Maui Medical Group Inc | 55 Pukalani St, Makawao, HI 96768-8544 |
| Mishna Orion | Physician Assistant | Maui Medical Group Inc | 55 Pukalani St, Makawao, HI 96768-8544 |
| Derek R Illastron | Internal Medicine | Maui Medical Group Inc | 55 Pukalani St, Makawao, HI 96768-8544 |
| Ellecia Cook | Dermatology | Maui Medical Group Inc | 55 Pukalani St, Makawao, HI 96768-8544 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allison M Dusinski | Physical Therapy | Elite Physical Therapy and Sports | 1043 Makawad Ave Set, Suite 107, Makawao, HI 96768 |
| Darcy S Ledesma | Physical Therapy | Elite Physical Therapy and Sports | 1043 Makawad Ave Set, Suite 107, Makawao, HI 96768 |
| Mylene Motomura | Physical Therapy | Elite Physical Therapy and Sports | 1043 Makawad Ave Set, Suite 107, Makawao, HI 96768 |
| Healani K Leite Ah Yo | Physical Therapy | Elite Physical Therapy and Sports | 1043 Makawad Ave Set, Makawao, HI 96768 |
| Bruce L Glen | Psychologist, Clinical | 1940 Olinda Rd, Makawao, HI 96768-7101 | |
| Daniel J Lane | Psychologist, Clinical | 1135 Makawao Ave, Suite 204, Makawao, HI 96768-7403 | |
| Teri L Holter | Clinical Social Worker | 3660 Baldwin Ave, Makawao, HI 96768-7503 | |
| Eve Tamar Berman | General Practice | 3660 Baldwin Ave, 2c, Makawao, HI 96768-7503 | |
| Michael A Leong | Optometry | Maui Optix LLC | 24 Kiopaa Pl, Suite 102, Makawao, HI 96768-8295 |
| Karsten L Lee | Optometry | Maui Optix LLC | 24 Kiopaa Pl, Suite 102, Makawao, HI 96768-8295 |
| Find all physicians in zip 96768 | |||
| City | MAKAWAO |
| Zip Code | 96768 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MAKAWAO + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Keely Kopp.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.