Individual
NIKKI SUMIE LEILI'I KUNITOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
81-980 HALEKII ST STE 103, KEALAKEKUA, HI 96750-8177
(808) 324-0703
Mailing address
75-5751 KUAKINI HWY STE 203, KAILUA KONA, HI 96740-1753
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/31/2022
Last updated
12/06/2024
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