Provider Demographics
NPI:1386208056
Name:KHUN, VIOLETA G
Entity Type:Individual
Prefix:
First Name:VIOLETA
Middle Name:G
Last Name:KHUN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91-206 MAKAIKE PL
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-5129
Mailing Address - Country:US
Mailing Address - Phone:808-224-2043
Mailing Address - Fax:
Practice Address - Street 1:91-206 MAKAIKE PL
Practice Address - Street 2:
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706-5129
Practice Address - Country:US
Practice Address - Phone:808-224-2043
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-27
Last Update Date:2019-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI54393163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool