Doctor Name: | DR. KRISTINA DANIELLE ROBERTS |
NPI Number: | 1750785978 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ND |
License Number: | 263 |
Business Practice Address: | 75-169 Hualalai Rd Suite 301 Kailua Kona, HI - 967401744 |
Business Phone Number: | 8083292114 |
Business Fax Number: | |
Mailing Address: | 73-1268 Lihau St, KAILUA KONA |
State: | HI |
Postal Code: | 967409107 |
Phone Number: | 2074320341 |
Fax Number: | |
NPI Enumeration Date: | 10/17/2014 |
NPI Last Update Date: | 10/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 263 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |