Doctor Name: | KIRSTEN LESLEY-BROWNING DARRELL |
NPI Number: | 1518145101 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | AMD316 |
Business Practice Address: | 4800d Kawaihau Rd. Ho' Ola Lahu'i Hawaii Kapaa, HI - 96746 |
Business Phone Number: | 8082400122 |
Business Fax Number: | |
Mailing Address: | Po Box 424, KILAUEA |
State: | HI |
Postal Code: | 967540424 |
Phone Number: | 8087226315 |
Fax Number: | |
NPI Enumeration Date: | 02/05/2008 |
NPI Last Update Date: | 10/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | AMD316 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |