Provider Demographics
NPI:1609161421
Name:KINOSHITA YUEN, KORYN-MICHELE KEIKO (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KORYN-MICHELE
Middle Name:KEIKO
Last Name:KINOSHITA YUEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91-600 FARRINGTON HWY
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-4511
Mailing Address - Country:US
Mailing Address - Phone:808-206-9415
Mailing Address - Fax:808-674-2089
Practice Address - Street 1:91-600 FARRINGTON HWY
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-4511
Practice Address - Country:US
Practice Address - Phone:808-206-9415
Practice Address - Fax:808-674-2089
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-09
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57155183500000X
HIPH-3220183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist