Individual
KEN BEVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
81-6587 MAMALAHOA HWY, SUITE C-301, KEALAKEKUA, HI 96750
(808) 769-5212
(808) 769-5213
Mailing address
PO BOX 650, KEALAKEKUA, HI 96750-0650
(808) 769-5212
(808) 769-5213
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
10023
HI
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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