Individual
ALEX KENJI SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
622 ILIAINA ST, KAILUA, HI 96734-1813
(808) 358-4975
Mailing address
622 ILIAINA ST, KAILUA, HI 96734-1813
(808) 358-4975
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN-4216-0
HI
Other
Enumeration date
08/28/2023
Last updated
11/22/2023
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