Individual
KAILIE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
550 S BERETANIA ST STE 601, HONOLULU, HI 96813-2423
(808) 691-8900
Mailing address
550 S BERETANIA ST STE 601, HONOLULU, HI 96813-2423
(808) 691-8900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2200
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
810649
—
HI
Enumeration date
10/25/2016
Last updated
06/18/2020
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