Individual
MR. KENNETH ANTHONY ALVARADO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TLCWELLNESSHAWAII
Contact information
Practice address
94-1161 HEAHEA ST, WAIPAHU, HI 96797-4713
(808) 773-2520
(808) 200-4013
Mailing address
94-1161 HEAHEA ST, WAIPAHU, HI 96797-4713
(808) 773-2520
(808) 200-4013
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
82-0889310
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80-0889310
TAX ID
HI
Enumeration date
09/29/2017
Last updated
07/21/2022
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