Debra Kettleson Inc

NPI 1134525546 - Family Medicine - 207QG0300X

NPI Details
NPI 1134525546
Enumeration Date 11/12/2014
Last Updated 01/05/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name DEBRA LYNN DEBRA
Position OWNER/PROVIDER
Phone (808) 365-5988
Fax (808) 365-5989
Practice Location
670 PONAHAWAI ST STE 221
HILO HI, 96720-7829, US
Phone (808) 365-5988
Fax (808) 365-5989
Business Location
670 PONAHAWAI ST STE 221
HILO HI, 96720-7829, US
Phone (808) 365-5988
Fax (808) 365-5989
Toxanomy
Taxonomy Code 207QG0300X
License State Hawaii
License Number 2009004214
Remove 1134525546 NPI Number
 

According to our database, Debra Kettleson Inc NPI is 1134525546, taxonomy code is 207QG0300X and license number is 2009004214, license state is located at Hawaii. Debra Kettleson Inc physically located at 670 Ponahawai St Ste 221, Hilo HI, 96720-7829. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1134525546 NPI number is provided on an as is basis without warranty of any kind. 1134525546 is maintained by the National Plan & Provider Enumeration System. The contents of Debra Kettleson Inc are for informational purposes only.