Individual
KATHLEEN WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, MBA
Contact information
Practice address
98-1247 KAAHUMANU ST, SUITE 207, AIEA, HI 96701-5311
(808) 798-8706
(808) 691-9027
Mailing address
98-1247 KAAHUMANU ST, SUITE 207, AIEA, HI 96701-5311
(808) 798-8706
(808) 691-9027
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
1-0615
HI
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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