Healthcare Provider Details

I. General information

NPI: 1689597619
Provider Name (Legal Business Name): DONNABELLE CAMPILLA KINNEY-PASION
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DONNABELLE CAMPILLA MASON

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER HI
96859-5001
US

IV. Provider business mailing address

1721 YOUNG ST APT H
HONOLULU HI
96826-2027
US

V. Phone/Fax

Practice location:
  • Phone: 888-683-2778
  • Fax:
Mailing address:
  • Phone: 888-683-2778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA-793
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: