Provider Demographics
NPI:1376597047
Name:PIKUNAS, KRISTINA ANN (PHD)
Entity Type:Individual
Prefix:DR
First Name:KRISTINA
Middle Name:ANN
Last Name:PIKUNAS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 KALAKAUA AVE
Mailing Address - Street 2:#505
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-3640
Mailing Address - Country:US
Mailing Address - Phone:808-923-2628
Mailing Address - Fax:808-922-4101
Practice Address - Street 1:444 HOBRON LN
Practice Address - Street 2:SUITE 307
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-1291
Practice Address - Country:US
Practice Address - Phone:808-923-2628
Practice Address - Fax:808-922-4101
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI878103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI56677105Medicaid
HI0000252155OtherHMSA HOBRON LN
HI566771Medicaid
HI878OtherHMA
HI56677103Medicaid
HI56677104Medicaid
HI100505Medicare ID - Type Unspecified
HI56677104Medicaid