Individual
KIMBERLY DAWN KOPETSEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
377 KEAHOLE ST, HONOLULU, HI 96825-3405
(808) 395-4427
Mailing address
92-1545 ALIINUI DR # 3B, KAPOLEI, HI 96707-2226
(808) 343-8998
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-1474
HI
Other
Enumeration date
05/31/2012
Last updated
01/18/2021
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