Provider Demographics
NPI:1316516982
Name:POUNPANYA, ASHLEY KAIMIPONO (CPE)
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:KAIMIPONO
Last Name:POUNPANYA
Suffix:
Gender:F
Credentials:CPE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 ONEAWA ST STE A
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2527
Mailing Address - Country:US
Mailing Address - Phone:808-392-2352
Mailing Address - Fax:
Practice Address - Street 1:22 ONEAWA ST STE A
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2527
Practice Address - Country:US
Practice Address - Phone:808-392-2352
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-18
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center