Doctor Name: | MRS. KATHLEEN DANILCZYK |
NPI Number: | 1164658043 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 0110003349 |
Business Practice Address: | 128 Lehua St Wahiawa, HI - 967862036 |
Business Phone Number: | 8086214230 |
Business Fax Number: | 8086214123 |
Mailing Address: | 407 Uluniu St, Suite 411 Po Box 122 KAILUA |
State: | HI |
Postal Code: | 967342519 |
Phone Number: | 8082613326 |
Fax Number: | 8082613092 |
NPI Enumeration Date: | 06/04/2009 |
NPI Last Update Date: | 10/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 0110003349 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |