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NPI Code Detail

MEDICARE: JUDITH KA-YENG POON

MEDICARE: JUDITH KA-YENG POON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianHI

General Provider Information

NPI Number : 1891629721
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDITH KA-YENG POON
Provider Business Mailing Address
First Line : 45-479 MAKALANI ST
Second Line :
City : KANEOHE
State : HI
Zip : 96744-2824
Country : US
Telephone Number : 808-372-2938
Fax Number :
Provider Business Practice Location Address
First Line : 1390 MILLER ST
Second Line :
City : HONOLULU
State : HI
Zip : 96813-2493
Country : US
Telephone Number : 808-427-9257
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/17/2026

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Directions to “ JUDITH KA-YENG POON ” Practice Location

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