Provider Demographics
NPI:1487326963
Name:LUMSDEN, KYLE DRAPER (DNP, FNP-BC, APRN-RX)
Entity type:Individual
Prefix:
First Name:KYLE
Middle Name:DRAPER
Last Name:LUMSDEN
Suffix:
Gender:M
Credentials:DNP, FNP-BC, APRN-RX
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92-1048 KANEHOA LOOP APT 73
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-1301
Mailing Address - Country:US
Mailing Address - Phone:540-556-9722
Mailing Address - Fax:
Practice Address - Street 1:2230 LILIHA ST STE 104
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-7357
Practice Address - Country:US
Practice Address - Phone:808-261-4476
Practice Address - Fax:808-263-4476
Is Sole Proprietor?:No
Enumeration Date:2021-10-01
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-3338-0363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily