Morimoto, Kaiulani Wilson

Morimoto, Kaiulani Wilson is an individual health care provider with primary practice located at 12615 E Mission Ave Ste 105 , Spokane Valley WA 99216-1047. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Morimoto, Kaiulani Wilson can be contacted via phone (509) 315-4415.

Contact Information

Primary practice address
12615 E Mission Ave Ste 105 Spokane Valley WA 99216-1047
Phone: (509) 315-4415
Fax: (509) 315-8204
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X MD00036728 Washington

Profile Details

NPI number 1124011408
LBN Legal business name Morimoto, Kaiulani Wilson
Credentials MD FACS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Jul 17th, 2014 - about 12 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 1124011408 NPPES
Washington MEDICAID 8394512

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