Healthcare Provider Details

I. General information

NPI: 1922005222
Provider Name (Legal Business Name): KRISTIN C BUEHLER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/30/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

67-1125 MAMALAHOA HWY
KAMUELA HI
96743-8496
US

IV. Provider business mailing address

PO BOX 2799
KAMUELA HI
96743-2799
US

V. Phone/Fax

Practice location:
  • Phone: 808-885-4444
  • Fax:
Mailing address:
  • Phone: 808-885-4444
  • Fax: 808-881-4624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD11214
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: