Provider Demographics
NPI:1295308518
Name:UNANGST, KRISTA
Entity type:Individual
Prefix:
First Name:KRISTA
Middle Name:
Last Name:UNANGST
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 1:95-1032 KOWA ST
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-4806
Mailing Address - Country:US
Mailing Address - Phone:808-626-1233
Mailing Address - Fax:
Practice Address - Street 1:95-1330 LEHIWA DR
Practice Address - Street 2:
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-6577
Practice Address - Country:US
Practice Address - Phone:808-626-2980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-23
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician