NPI 1053930784

Mari Kong, ATC

Practitioner Athletic Trainer Honolulu, HI

Practice location

Address: 1564 N King St, Honolulu, HI 96817-4229
Phone: (808) 255-9690
Mailing address: 94-1041 Koliana St, Waipahu, HI 96797-4310

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT-65 (HI)

Other Specialist/Technologist providers in Hawaii →

Registry record

NPI: 1053930784
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Apr 2020
Record last updated: 13 Apr 2020

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.