Provider Demographics
NPI:1548488570
Name:KELLY, LILI (MD)
Entity type:Individual
Prefix:DR
First Name:LILI
Middle Name:
Last Name:KELLY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:320 OHUA AVE
Mailing Address - Street 2:STE 802
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-3670
Mailing Address - Country:US
Mailing Address - Phone:808-371-3701
Mailing Address - Fax:808-356-0730
Practice Address - Street 1:320 OHUA AVE
Practice Address - Street 2:STE 802
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-3670
Practice Address - Country:US
Practice Address - Phone:808-371-3701
Practice Address - Fax:808-356-0730
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIMD-134342084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry