Provider Demographics
NPI:1801020623
Name:KUALII, BARBARA ANN (RN)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:ANN
Last Name:KUALII
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 1:1178 KINOOLE ST
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-7206
Mailing Address - Country:US
Mailing Address - Phone:808-934-3209
Mailing Address - Fax:808-961-5678
Practice Address - Street 1:224 HAILI ST
Practice Address - Street 2:BLDG B
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-2975
Practice Address - Country:US
Practice Address - Phone:808-934-3209
Practice Address - Fax:808-961-5678
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-07
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRN-17473261QC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health