Individual
MRS. DEBRA LYNN KETTLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
80 PAUAHI ST, HILO, HI 96720-3065
(808) 935-5018
(808) 935-5018
Mailing address
670 PONAHAWAI ST, STE 221, HILO, HI 96720-7829
(808) 935-5018
(808) 935-5018
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN566
HI
Other
Enumeration date
10/24/2006
Last updated
08/05/2016
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