Provider Demographics
NPI:1518145101
Name:DARRELL, KIRSTEN LESLEY-BROWNING (PA-C)
Entity Type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:LESLEY-BROWNING
Last Name:DARRELL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:KIRSTEN
Other - Middle Name:LESLEY
Other - Last Name:BROWNING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 424
Mailing Address - Street 2:
Mailing Address - City:KILAUEA
Mailing Address - State:HI
Mailing Address - Zip Code:96754-0424
Mailing Address - Country:US
Mailing Address - Phone:808-722-6315
Mailing Address - Fax:
Practice Address - Street 1:4800D KAWAIHAU RD.
Practice Address - Street 2:HO' OLA LAHU'I HAWAII
Practice Address - City:KAPAA
Practice Address - State:HI
Practice Address - Zip Code:96746
Practice Address - Country:US
Practice Address - Phone:808-240-0122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-05
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAMD316363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical