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Individual

KRISTEN GUTERMUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2180 MAIN ST, WAILUKU, HI 96793-1666
(808) 242-6464
(808) 573-9240
Mailing address
2180 MAIN ST, WAILUKU, HI 96793-1666
(808) 242-6464
(808) 573-9240

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD11686
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
50087802
ALOHA CARE QUEST
HI
05
50087802
HI
01
598743
UHA
HI
01
990176859
HMAA - HMA - HMS
HI
01
99017685996793B028
TRICARE
HI
01
A231074
HMSA-65CP-HMSA QUEST
HI
Enumeration date
07/13/2006
Last updated
10/21/2008
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