Individual
DENIELLE KUKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1301 PUNCHBOWL ST, CLAVERICK 2, HONOLULU, HI 96813-2402
(808) 537-7143
(808) 537-7496
Mailing address
1301 PUNCHBOWL, HONOLULU, HI 96813
(808) 537-7143
(808) 537-7496
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
016404
NY
363AM0700X
Medical Physician Assistant
001645
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063433498
NPI
RI
01
—
939025129
MEDICARE GROUP NUMBER
RI
Enumeration date
07/21/2006
Last updated
05/08/2024
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