Individual
KENNETH BUSTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
1170 MAKAWAO AVE, MAKAWAO, HI 96768-9448
(808) 315-5020
Mailing address
346 MANINI PL, KIHEI, HI 96753-8950
(808) 315-5020
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1001
HI
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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