Provider Demographics
NPI:1730698960
Name:SUZUKI, KALIN (ND)
Entity type:Individual
Prefix:DR
First Name:KALIN
Middle Name:
Last Name:SUZUKI
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2176 LAUWILIWILI ST STE 12
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-1882
Mailing Address - Country:US
Mailing Address - Phone:808-465-3000
Mailing Address - Fax:808-465-3574
Practice Address - Street 1:2176 LAUWILIWILI ST STE 12
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-1882
Practice Address - Country:US
Practice Address - Phone:808-465-3000
Practice Address - Fax:808-465-3574
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-19
Last Update Date:2020-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI324175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No175F00000XOther Service ProvidersNaturopath