Provider Demographics
NPI:1619254620
Name:BELL, KATHY E (RN)
Entity Type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:E
Last Name:BELL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53-567 KAMEHAMEHA HWY APT 611
Mailing Address - Street 2:
Mailing Address - City:HAUULA
Mailing Address - State:HI
Mailing Address - Zip Code:96717-9679
Mailing Address - Country:US
Mailing Address - Phone:808-348-9940
Mailing Address - Fax:808-678-3325
Practice Address - Street 1:53-567 KAMEHAMEHA HWY APT 611
Practice Address - Street 2:
Practice Address - City:HAUULA
Practice Address - State:HI
Practice Address - Zip Code:96717-9679
Practice Address - Country:US
Practice Address - Phone:808-348-9940
Practice Address - Fax:808-678-3325
Is Sole Proprietor?:No
Enumeration Date:2011-11-04
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI45651163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse