Provider Demographics
NPI:1871039016
Name:KLAFT, ANN
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:KLAFT
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 1:360 KAUILA ST APT 309
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-2127
Mailing Address - Country:US
Mailing Address - Phone:808-462-2666
Mailing Address - Fax:
Practice Address - Street 1:360 KAUILA ST APT 309
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-2127
Practice Address - Country:US
Practice Address - Phone:808-462-2666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-11
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIACU1191171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist