Organization
KENYUA N. JOHNSON FNP-BC, LLC
Active
Other names
Waiola Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENYUA JOHNSON FNP-BC (FAMILY NURSE PRACTITIONER)
(808) 216-5179
Entity
Organization
Contact information
Practice address
1415 VICTORIA ST APT 205, HONOLULU, HI 96822-3697
(808) 292-8028
(808) 356-0609
Mailing address
1415 VICTORIA ST APT 205, HONOLULU, HI 96822-3697
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN1560
HI
Other
Enumeration date
07/16/2014
Last updated
01/26/2015
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