Individual
MS. KELLY LEIALOHA LUSCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
80 PAUAHI ST STE 101, HILO, HI 96720-3043
(808) 531-7222
Mailing address
80 PAUAHI ST STE 101, HILO, HI 96720-3043
(808) 531-7222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-1641
HI
Other
Enumeration date
09/10/2013
Last updated
02/11/2015
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