Doctor Name: | DR. KRISTEN D YAKUBISIN |
NPI Number: | 1720169055 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 12526 |
Business Practice Address: | 915 N King St Honolulu, HI - 968174544 |
Business Phone Number: | 8088481438 |
Business Fax Number: | 8088437270 |
Mailing Address: | 915 N King St, HONOLULU |
State: | HI |
Postal Code: | 968174544 |
Phone Number: | 8088481438 |
Fax Number: | 8088437270 |
NPI Enumeration Date: | 10/17/2006 |
NPI Last Update Date: | 06/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 12526 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |