Individual
KIMBERLY MACKESY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 ALA MOANA BLVD STE 7-400, HONOLULU, HI 96813-4902
(855) 832-6727
Mailing address
PO BOX 272, HILO, HI 96721-0272
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/12/2018
Last updated
11/12/2018
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