Individual
WYVITRA KNOX STOKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
642 ULUKAHIKI ST, SUITE 209, KAILUA, HI 96734-4439
(808) 230-8500
(808) 230-8501
Mailing address
642 ULUKAHIKI ST, SUITE 209, KAILUA, HI 96734-4439
(808) 230-8500
(808) 230-8501
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
AMD-263
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57593801
—
HI
Enumeration date
06/21/2006
Last updated
08/31/2009
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