Organization
BLM INCORPORATED
Active
Other names
Hawaii Diabetes Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LESLIE KRENK RPH (ADMINISTRATIVE OFFICER)
(808) 877-6222
Entity
Organization
Contact information
Practice address
53 S PUUNENE AVE, KAHULUI, HI 96732-2121
(808) 871-5144
(808) 877-2430
Mailing address
53 S PUUNENE AVE, KAHULUI, HI 96732-2121
(808) 871-5144
(808) 877-2430
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN-28445
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
541585
HMA
HI
01
—
9233636
UHA
HI
01
—
A 020670-4
HMSA
HI
Enumeration date
12/21/2006
Last updated
07/29/2015
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