Most Relevant Information
Provider Data
| NPI Number: | 1003584129 |
| Provider Name: | KYLIE TARA LEWIS RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN-93607 |
Most Important Dates
| Enumeration Date: | 09/02/2021 |
| Last Updated: | 09/02/2021 |
Provider Practice Location
430 LEWERS ST APT 7B
HONOLULU
HI
968152419
Practice Location Phone/Fax
| Phone: | 8084451183 |
| Fax: |
Provider Mailing Location
430 LEWERS ST APT 7B
HONOLULU
HI
968152419
Provider Mailing Phone/Fax
| Phone: | 8084451183 |
| Fax: |