Individual
KATHLEEN ANNETTE HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
310 W KAAHUMANU AVE, KAHULUI, HI 96732-1643
(808) 984-3493
Mailing address
32 HOKU PL, PAIA, HI 96779-8122
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
RN 58675
HI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
APRN 932
HI
Other
Enumeration date
09/03/2010
Last updated
09/03/2010
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