Individual
DR. KRISTY MELISSA SHINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
770 KAPIOLANI BLVD STE 705, HONOLULU, HI 96813-5241
(808) 597-8799
Mailing address
770 KAPIOLANI BLVD STE 705, HONOLULU, HI 96813-5241
(808) 597-8799
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD22418
HI
207P00000X
Emergency Medicine Physician
MD459017
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD-22418
MEDICAL LICENSE
HI
Enumeration date
04/07/2014
Last updated
08/04/2022
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