Individual
KELLY RUNGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
221 PIIKEA AVE, STE D, KIHEI, HI 96753-8268
(808) 879-5211
Mailing address
221 PIIKEA AVE, STE D, KIHEI, HI 96753-8268
(808) 879-5211
(808) 879-5213
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-4155
HI
Other
Enumeration date
07/17/2015
Last updated
04/11/2016
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