Healthcare Provider Details

I. General information

NPI: 1619254620
Provider Name (Legal Business Name): KATHY E BELL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2011
Last Update Date: 11/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53-567 KAMEHAMEHA HWY APT 611
HAUULA HI
96717-9679
US

IV. Provider business mailing address

53-567 KAMEHAMEHA HWY APT 611
HAUULA HI
96717-9679
US

V. Phone/Fax

Practice location:
  • Phone: 808-348-9940
  • Fax: 808-678-3325
Mailing address:
  • Phone: 808-348-9940
  • Fax: 808-678-3325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number45651
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: