Individual
KEMP-KYT BURGONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
932B 8TH AVE, HONOLULU, HI 96816-7133
(808) 346-7655
Mailing address
932B 8TH AVE, HONOLULU, HI 96816-7133
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-91373
HI
183700000X
Pharmacy Technician
10066253
HI
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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