NPI 1053016014

Jordan Rose Bear

Practitioner Athletic Trainer Kailua Kona, HI

Practice location

Address: 77-6425 Sea View Circle, Kailua Kona, HI 96740
Phone: (808) 796-6893
Mailing address: 75-5660 Kopiko St STE C7 #117, Kailua Kona, HI 96740

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Hawaii →

Registry record

NPI: 1053016014
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Mar 2023
Record last updated: 31 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.