Healthcare Provider Details

I. General information

NPI: 1548407265
Provider Name (Legal Business Name): DENBY K F RALL AU.D. CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2009
Last Update Date: 03/15/2024
Certification Date: 03/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

45-123 MAHALANI CIR
KANEOHE HI
96744-2719
US

V. Phone/Fax

Practice location:
  • Phone: 808-433-5742
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAUD119
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAUD 119
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: