Individual
BEN KUENZLI-LEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4680 KALANIANAOLE HWY, HONOLULU, HI 96821-1241
(808) 377-7744
(808) 377-2483
Mailing address
4680 KALANIANAOLE HWY, HONOLULU, HI 96821-1241
(808) 377-7744
(808) 377-2483
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT - 55
HI
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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