Fukumura, Kellie A

Fukumura, Kellie A is an individual health care provider with primary practice located at 758 Kapahulu Ave A-319, Honolulu HI 96816-1196. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Fukumura, Kellie A can be contacted via phone (808) 922-4787.

Contact Information

Primary practice address
758 Kapahulu Ave A-319 Honolulu HI 96816-1196
Phone: (808) 922-4787
Fax: (808) 922-4950
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X AMD 160 Hawaii

Profile Details

NPI number 1750364626
LBN Legal business name Fukumura, Kellie A
Credentials AMD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750364626 NPPES
Hawaii Other 497603-01 ALOHA CARE
Hawaii MEDICAID 497603-01 ALOHA CARE
Hawaii Other 00A0251122 ALOHA CARE

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