Individual
MRS. JEANELLE KELLY AHUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
277 OHUA AVENUE, WAIKIKI HEALTH CENTER, HONOLULU, HI 96815
(808) 922-4787
Mailing address
277 OHUA AVENUE, HONOLULU, HI 96815
(808) 922-4787
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
AMD 334
HI
Other
Enumeration date
10/29/2008
Last updated
08/03/2016
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