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Individual

KAREN E. ALSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
1276 KINOOLE ST, HILO, HI 96720-4135
(808) 784-3050
(808) 784-3059
Mailing address
1276 KINOOLE ST, HILO, HI 96720-4135
(808) 784-3050
(808) 784-3059

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
436
MT
363AS0400X
Surgical Physician Assistant
Primary
AMD-1070
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
97003
BCBS PROVIDER NUMBER
MT
Enumeration date
07/06/2006
Last updated
10/08/2021
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