Individual
KIERA DESTINY GLODOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1337 LOWER CAMPUS RD OFC 224, HONOLULU, HI 96822-2352
(808) 956-7606
Mailing address
1337 LOWER CAMPUS RD OFC 224, HONOLULU, HI 96822-2352
(808) 956-7606
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
12322664-4810
UT
207PS0010X
Sports Medicine (Emergency Medicine) Physician
AT-395
HI
2255A2300X
Athletic Trainer
12322664-4810
HI
2255A2300X
Athletic Trainer
Primary
AT-395
HI
Other
Enumeration date
01/17/2022
Last updated
02/22/2024
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