Individual
KENNETH ARTHUR KOTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
82-984 PAIKAPAHU ST, CAPTAIN COOK, HI 96704-8235
(808) 987-1025
Mailing address
82-984 PAIKAPAHU ST, CAPTAIN COOK, HI 96704-8235
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11831
HI
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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