Individual
MR. KEVIN GARY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
118 AIKAHI LOOP, KAILUA, HI 96734-1642
(808) 219-3920
Mailing address
118 AIKAHI LOOP, KAILUA, HI 96734-1642
(808) 219-3920
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN89132
HI
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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