Individual
KATHRYN T WERNEKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
94-408 AKOKI ST, SUITE 202, WAIPAHU, HI 96797-2733
(808) 676-5584
Mailing address
94-1265 LUMIKULA ST # 1B, WAIPAHU, HI 96797-4088
(732) 597-4589
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
834
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
646440001
—
HI
Enumeration date
11/13/2016
Last updated
11/14/2016
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