Individual
KASSIDEY FAITH KINDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7347 BIRCH CIR, PEARL CITY, HI 96782-4510
(208) 292-7167
Mailing address
7347 BIRCH CIR, PEARL CITY, HI 96782-4510
(208) 292-7167
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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