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:
Health care specialties
| Specialty | Code | License # | 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 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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