Individual
KRISHANNA TAKEMOTO-GENTILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2632 S KING ST, HONOLULU, HI 96826-3243
(808) 955-1544
Mailing address
2632 S KING ST, HONOLULU, HI 96826-3243
(808) 955-1544
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD19034
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/15/2014
Last updated
07/21/2022
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