Provider Demographics
NPI:1184403008
Name:DR. KRISTIN CHRISTENSEN
Entity type:Organization
Organization Name:DR. KRISTIN CHRISTENSEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:KHOURY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-384-4725
Mailing Address - Street 1:7192 KALANIANAOLE HWY.
Mailing Address - Street 2:SUITE 143A #259
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825
Mailing Address - Country:US
Mailing Address - Phone:808-384-4725
Mailing Address - Fax:808-888-4227
Practice Address - Street 1:7192 KALANIANAOLE HWY.
Practice Address - Street 2:SUITE 143A #259
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96825
Practice Address - Country:US
Practice Address - Phone:808-384-4725
Practice Address - Fax:808-888-4227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management