Individual
MR. KEVIN JOSEPH QUAIL II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1442 KEWALO ST APT 409, HONOLULU, HI 96822-5303
(808) 999-9108
Mailing address
1442 KEWALO ST APT 409, HONOLULU, HI 96822-5303
(808) 999-9108
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
SL016280
HI
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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