| Doctor Name: | MR. SETH KUNIO PROCTOR |
| NPI Number: | 1053459602 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN |
| License Number: | RN-49341 |
| Business Practice Address: | 121 Mahalani St Wailuku, HI - 967932528 |
| Business Phone Number: | 8089842150 |
| Business Fax Number: | 8089842155 |
| Mailing Address: | 121 Mahalani St, WAILUKU |
| State: | HI |
| Postal Code: | 967932528 |
| Phone Number: | 8089842150 |
| Fax Number: | 8089842155 |
| NPI Enumeration Date: | 02/02/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | RN-49341 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |