# KUPUNA MOBILE HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083366371
- **Authorized official:** GINA PUEN (OWNER)
- **Authorized official phone:** (808) 359-1641

## Contact information

- **Practice address:** 28-787 KAUPAKUEA HOMESTEAD RD, PEPEEKEO, HI 96783
- **Practice address phone:** (808) 359-1641
- **Practice address fax:** (800) 884-6702
- **Mailing address:** PO BOX 831134, PEPEEKEO, HI 96783-1072
- **Mailing address phone:** (808) 359-1641
- **Mailing address fax:** (800) 884-6702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/19/2022
- **Last updated:** 01/19/2022