Individual
MRS. KYLIE L WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
56-119 PUALALEA ST, KAHUKU, HI 96731-2052
(808) 293-9321
Mailing address
59-578 KAMEHAMEHA HWY, HALEIWA, HI 96712-9625
(808) 237-9808
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3-LD
HI
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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