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Individual

SUSAN JOY KOHNKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
77-6346 ALII DR, KAILUA KONA, HI 96740-2406
(443) 691-9755
Mailing address
PO BOX 452, HOLUALOA, HI 96725-0452

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN1245
HI
363LA2200X
Adult Health Nurse Practitioner
R136333
MD

Other

Enumeration date
10/26/2005
Last updated
08/13/2014
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