Individual
MICHAEL WADE KINSHELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1 JARRETT WHITE ROAD, HONOLULU, HI 96859
(808) 433-2915
Mailing address
1 JARRETT WHITE ROAD, HONOLULU, HI 96859
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
150985
CO
Other
Enumeration date
01/28/2009
Last updated
01/28/2009
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