Kim Willis MFT

NPI 1740470814 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1740470814
Gender Female
Enumeration Date 07/25/2007
Last Updated 07/25/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
10 COCONUT GROVE LN
LAHAINA HI, 96761-8735, US
Phone (808) 669-6867
Fax (808) 669-7787
Business Location
10 COCONUT GROVE LN
LAHAINA HI, 96761-8735, US
Phone (808) 669-6867
Fax (808) 669-7787
Toxanomy
Taxonomy Code 106H00000X
License State Hawaii
License Number 77
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According to our database, Kim Willis MFT NPI is 1740470814, taxonomy code is 106H00000X and license number is 77, license state is located at Hawaii. Kim Willis MFT physically located at 10 Coconut Grove Ln, Lahaina HI, 96761-8735. NPI Number Kim Willis MFT has the Individual type.

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1740470814 NPI number is provided on an as is basis without warranty of any kind. 1740470814 is maintained by the National Plan & Provider Enumeration System. The contents of Kim Willis MFT are for informational purposes only.