Provider Demographics
NPI:1225349129
Name:SCHERRER, KRYSTAL (MD)
Entity Type:Individual
Prefix:
First Name:KRYSTAL
Middle Name:
Last Name:SCHERRER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1189 WAIMANU ST APT 3901
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-4189
Mailing Address - Country:US
Mailing Address - Phone:562-715-6170
Mailing Address - Fax:
Practice Address - Street 1:1575 S BERETANIA ST
Practice Address - Street 2:SUITE 201-202
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-1149
Practice Address - Country:US
Practice Address - Phone:808-946-1712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-24
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-17736207L00000X
CAA135067207L00000X
MO2010017999207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology