NPI 1790117851

Junko N Shields

Practitioner Specialist Kailua Kona, HI

Practice location

Address: 75-5699 Kopiko St, Kailua Kona, HI 96740
Phone: (808) 960-3922
Mailing address: PO Box 1942, Kailua Kona, HI 96745-1942

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence MAT10726 (HI)

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Registry record

NPI: 1790117851
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Jul 2013
Record last updated: 31 Jul 2013

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.