| Doctor Name: | MRS. PENNY LOU KANESHINA |
| NPI Number: | 1689865123 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R. D. |
| License Number: | RD-896071 |
| Business Practice Address: | 105 Mauilani Pkwy Wailuku, HI - 967932443 |
| Business Phone Number: | 8088562115 |
| Business Fax Number: | 8082445712 |
| Mailing Address: | 105 Mauilani Pkwy, WAILUKU |
| State: | HI |
| Postal Code: | 967932443 |
| Phone Number: | 8088562115 |
| Fax Number: | 8082445712 |
| NPI Enumeration Date: | 08/08/2007 |
| NPI Last Update Date: | 06/24/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | RD-896071 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | HI |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |