Koranda, Nicole M

Koranda, Nicole M is an individual health care provider with primary practice located at 64-957 Mamalahoa Hwy , Kamuela HI 96743-8415. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Koranda, Nicole M can be contacted via phone (808) 209-7934.

Contact Information

Primary practice address
64-957 Mamalahoa Hwy Kamuela HI 96743-8415
Phone: (808) 209-7934
Fax: (808) 883-6262
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 992 Hawaii

Profile Details

NPI number 1700843372
LBN Legal business name Koranda, Nicole M
Credentials OTRL
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Sep 19th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700843372 NPPES
Hawaii MEDICAID 735277

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