Healthcare Provider Details

I. General information

NPI: 1346835188
Provider Name (Legal Business Name): NINA HAMID ACUPUNCTURE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2021
Last Update Date: 03/03/2021
Certification Date: 03/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75-5995 KUAKINI HWY STE 445
KAILUA KONA HI
96740-2123
US

IV. Provider business mailing address

75-5995 KUAKINI HWY STE 445
KAILUA KONA HI
96740-2123
US

V. Phone/Fax

Practice location:
  • Phone: 808-638-3343
  • Fax:
Mailing address:
  • Phone: 808-638-3343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: MS. NINA TATIANA HAMID
Title or Position: CHIEF OPERATOR
Credential: DACM, L.AC
Phone: 808-640-8926