Individual
KATHLEEN A ANCHETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
53 S PUUNENE AVE, KAHULUI, HI 96732-2121
(808) 871-5144
(808) 877-2430
Mailing address
53 S PUUNENE AVE, KAHULUI, HI 96732-2121
(808) 871-5144
(808) 877-2430
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN-28445
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000250514
HMSA PROVIDER NUMBER
HI
01
—
0921-3005
CDE CERTIFICATION
—
01
—
RN-28445
STATE LICENSURE
HI
Enumeration date
05/03/2007
Last updated
06/29/2015
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