KELLIE A FUKUMURA

HONOLULU, HI
NPI1750364626
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: HI  AMD 160)
Enumeration Date2005-11-23
Last Update Date2022-07-21
Business Address
KELLIE A FUKUMURA AMD
758 KAPAHULU AVE A-319
HONOLULU, HI 96816-1196
Phone number: 808-922-4787
Mailing Address
KELLIE A FUKUMURA AMD
277 OHUA AVE
HONOLULU, HI 96815-3643
Phone number: 808-922-4787
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