Provider Demographics
NPI:1326361601
Name:KAPOTHANASIS, CHRISTINA (LAC, DIPL OM)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:KAPOTHANASIS
Suffix:
Gender:F
Credentials:LAC, DIPL OM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 ENA RD
Mailing Address - Street 2:APT. 1107C
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-1746
Mailing Address - Country:US
Mailing Address - Phone:808-221-9814
Mailing Address - Fax:
Practice Address - Street 1:425 ENA RD
Practice Address - Street 2:APT. 1107C
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-1746
Practice Address - Country:US
Practice Address - Phone:808-221-9814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-01
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI920171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist