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:
Health care specialties
| Specialty | Code | License # | 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 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700843372 | NPPES |
| Hawaii | MEDICAID | 735277 |
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