Katelyn Stevens P.A. -C

NPI 1790011260 - Physician Assistant - 363A00000X

NPI Details
NPI 1790011260
Gender Female
Enumeration Date 10/19/2009
Last Updated 07/09/2013
Entity Type Individual
Active Over 7 years ago
Practice Location
WAIANAE HI, 96792-3128, US
Phone (808) 697-3501
Business Location
PO BOX 1701
KAILUA HI, 96734-8701, US
Phone (860) 919-6601
Taxonomy Code 363A00000X
License State Hawaii
License Number AMD-364
Remove 1790011260 NPI Number

According to our database, Katelyn Stevens P.A. -C NPI is 1790011260, taxonomy code is 363A00000X and license number is AMD-364, license state is located at Hawaii. Katelyn Stevens P.A. -C physically located at 86-260 Farrington Hwy, Waianae HI, 96792-3128. NPI Number Katelyn Stevens P.A. -C has the Individual type.

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1790011260 NPI number is provided on an as is basis without warranty of any kind. 1790011260 is maintained by the National Plan & Provider Enumeration System. The contents of Katelyn Stevens P.A. -C are for informational purposes only.