Provider Demographics
NPI:1063731776
Name:KERN, KU MEI BUTLER
Entity type:Individual
Prefix:MS
First Name:KU MEI
Middle Name:BUTLER
Last Name:KERN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 KANOELEHUA AVE
Mailing Address - Street 2:#287
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-4648
Mailing Address - Country:US
Mailing Address - Phone:808-896-9059
Mailing Address - Fax:
Practice Address - Street 1:200 KANOELEHUA AVE
Practice Address - Street 2:#287
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-4648
Practice Address - Country:US
Practice Address - Phone:808-896-9059
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-19
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter