| Kristopher Bjornson, Md, Llc | |
|
66-125 Kamehameha Hwy Haleiwa HI 96712-1420 | |
| (808) 637-5111 | |
| Not Available |
| Full Name | Kristopher Bjornson, Md, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 66-125 Kamehameha Hwy, Haleiwa, Hawaii |
| Authorized Official Name and Position | Kristopher Kazuo Bjornson (OWNER) |
| Authorized Official Contact | 8086375111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristopher Bjornson, Md, Llc Po Box 62213 Honolulu HI 96839-2213 Ph: () - | Kristopher Bjornson, Md, Llc 66-125 Kamehameha Hwy Haleiwa HI 96712-1420 Ph: (808) 637-5111 |
| NPI Number | 1659550648 |
|---|---|
| Provider Enumeration Date | 10/26/2007 |
| Last Update Date | 10/26/2007 |
| Medicare PECOS PAC ID | 7618129297 |
|---|---|
| Medicare Enrollment ID | O20121205000282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659550648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD 12386 (Hawaii) | Primary |
| Provider Name | Kristopher K Bjornson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891809109 PECOS PAC ID: 4082607452 Enrollment ID: I20040405000891 |
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