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Debra Lynn Kettleson, APRN

Nurse Practitioner in Hilo, HI. Individual provider (NPI-1).

NPI number1467536680
StatusActive
Last updated in NPPESAug 5, 2016

Details

NPI
1467536680
Entity type
Individual (NPI-1)
Name
Mrs. Debra Lynn Kettleson
Credential
APRN
Sex
Female
Sole proprietor
No
Enumeration date
Oct 24, 2006
Last updated
Aug 5, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerAPRN566HIYes

Practice location

80 Pauahi St
Hilo, HI 96720-3065

Phone 808-935-5018 · Fax 808-935-5018

Mailing address

670 Ponahawai St
Ste 221
Hilo, HI 96720-7829

Phone 808-935-5018 · Fax 808-935-5018

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