Provider Demographics
NPI:1700366366
Name:KRAEMER, AURELINA
Entity Type:Individual
Prefix:
First Name:AURELINA
Middle Name:
Last Name:KRAEMER
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:PO BOX 25988
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-0988
Mailing Address - Country:US
Mailing Address - Phone:808-222-4777
Mailing Address - Fax:
Practice Address - Street 1:1441 KAPIOLANI BLVD STE 608
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4403
Practice Address - Country:US
Practice Address - Phone:808-551-9944
Practice Address - Fax:808-762-9294
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-14
Last Update Date:2020-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2487207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine