Basic Information
Provider Information
NPI: 1215132915
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ADAMS
FirstName: CHRISTINA
MiddleName: K.K.
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: KLEINSCHMIDT
OtherFirstName: CHRISTINA
OtherMiddleName: KEOLANANI
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: M.D.
OtherLastNameType: 1
Mailing Information
Address1: 86-260 FARRINGTON HWY
Address2:  
City: WAIANAE
State: HI
PostalCode: 967923128
CountryCode: US
TelephoneNumber: 8086967081
FaxNumber: 8086967093
Practice Location
Address1: 86-260 FARRINGTON HWY
Address2:  
City: WAIANAE
State: HI
PostalCode: 967923128
CountryCode: US
TelephoneNumber: 8086967081
FaxNumber: 8086967093
Other Information
ProviderEnumerationDate: 06/20/2007
LastUpdateDate: 09/03/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XMDR-4828HIN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000XMD 14664HIY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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