Individual
MS. KERREY LIN BARTON TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
407 ULUNIU ST, SUITE 201, KAILUA, HI 96734-2519
(808) 261-7246
(808) 261-7248
Mailing address
407 ULUNIU ST, SUITE 201, KAILUA, HI 96734-2519
(808) 261-7246
(808) 261-7248
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
DOS-1153
HI
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
46479-021
WI
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
DOS-1153
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43529500
—
WI
05
—
599293-02
—
HI
Enumeration date
12/18/2006
Last updated
06/01/2010
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