Provider Demographics
NPI:1245006634
Name:MIGUEL, KRISTINELEA (MSW, LCSWI)
Entity type:Individual
Prefix:
First Name:KRISTINELEA
Middle Name:
Last Name:MIGUEL
Suffix:
Gender:F
Credentials:MSW, LCSWI
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 331270
Mailing Address - Street 2:
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96733-1270
Mailing Address - Country:US
Mailing Address - Phone:808-344-4752
Mailing Address - Fax:
Practice Address - Street 1:270 HOOKAHI ST STE 211
Practice Address - Street 2:
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-1466
Practice Address - Country:US
Practice Address - Phone:808-344-4752
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-28
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program