Individual
KIMBERLY SUPNET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94-1221 KA UKA BLVD UNIT 108-213, WAIPAHU, HI 96797-6202
(808) 277-6809
Mailing address
94-1221 KA UKA BLVD UNIT 108-213, WAIPAHU, HI 96797-6202
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-4271
HI
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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