Healthcare Provider Details

I. General information

NPI: 1710281241
Provider Name (Legal Business Name): MARIE KATHRYNE WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/23/2010
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

579 FARRINGTON HWY STE 204
KAPOLEI HI
96707-2027
US

IV. Provider business mailing address

579 FARRINGTON HWY STE 204
KAPOLEI HI
96707-2027
US

V. Phone/Fax

Practice location:
  • Phone: 808-674-4300
  • Fax:
Mailing address:
  • Phone: 808-674-4300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberAPRN-5468
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: