Organization
KONA NPS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONDA K SOTO NP (MEMBER OWNER)
(808) 987-4506
Entity
Organization
Contact information
Practice address
74-5027 TOMI TOMI DR # A, KAILUA KONA, HI 96740-8114
(808) 987-4506
(808) 326-9071
Mailing address
74-5027 TOMI TOMI DR # A, KAILUA KONA, HI 96740-8114
(808) 987-4506
(808) 326-9071
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN 677
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000024896-3
HMSA
HI
01
—
0000248963
HMSA QUEST
HI
01
—
00A024896-1
HMSA - LCCK
HI
01
—
0394691100
UHA
HI
05
—
560616-01
—
HI
05
—
560616-03
—
HI
Enumeration date
05/16/2009
Last updated
05/16/2009
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