Provider Demographics
NPI:1053877522
Name:LINOZ, KRISTY
Entity type:Individual
Prefix:MS
First Name:KRISTY
Middle Name:
Last Name:LINOZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2959 UMI ST
Mailing Address - Street 2:
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766-1806
Mailing Address - Country:US
Mailing Address - Phone:808-977-8210
Mailing Address - Fax:
Practice Address - Street 1:3705 KOLOA ROAD
Practice Address - Street 2:
Practice Address - City:LAWAI
Practice Address - State:HI
Practice Address - Zip Code:96765
Practice Address - Country:US
Practice Address - Phone:808-740-8041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-20
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health