DEBRA KETTLESON INC
Organization (NPI-2)
Active
Family Medicine
Provider Information
- NPI Number
1134525546- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 670 PONAHAWAI ST STE 221, HILO, HI, 967207829
- Phone
- (808) 365-5988
- Fax
- (808) 365-5989
Specialties & Taxonomies
Family Medicine, Geriatric Medicine
License: HI #2009004214
Family Medicine
Primary License: HI #0381075