Healthcare Provider Details

I. General information

NPI: 1568694842
Provider Name (Legal Business Name): KIMBERLY R TURNBULL RN, DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2009
Last Update Date: 08/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

89-826 HUA NUI RD
CAPTAIN COOK HI
96704
US

IV. Provider business mailing address

PO BOX 2194
KEALAKEKUA HI
96750-2194
US

V. Phone/Fax

Practice location:
  • Phone: 808-328-2417
  • Fax:
Mailing address:
  • Phone: 808-328-2417
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1116
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: