Individual
SHELLEY KIRKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1190 WAIANUENUE AVE, HILO, HI 96720-2094
(808) 932-4215
Mailing address
1190 WAIANUENUE AVE, HILO, HI 96720-2094
(808) 932-4215
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD-23550
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2020
Last updated
10/18/2023
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