Individual
KIMBERLY EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT 15556
Contact information
Practice address
75-5597 PALANI RD STE B-1, KAILUA KONA, HI 96740-1661
(808) 327-9791
Mailing address
PO BOX 9026, KAILUA KONA, HI 96745-9026
(808) 960-2097
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15556
HI
Other
Enumeration date
03/10/2018
Last updated
03/12/2019
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