IndividualActive
Kim Boultinghouse
NPI 1356904049 · School Registered Nurse · Waipahu, HI
Provider details
- NPI number
- 1356904049
- Entity type
- Individual
- Primary specialty
- School Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 72108 (HI)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Practice location
94-1141 Akeu Pl
Waipahu, HI 96797-4039
Phone: (503) 703-8191
Approximate (ZIP-level) locationGet directions
Mailing address
94-1141 Akeu Pl
Waipahu, HI 96797-4039
Registry dates
- Enumerated
- 2019-04-17
- Last updated
- 2019-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.