MEDICARE: AKI TACHIKI CAMPBELL L.AC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	1475	HI

General Provider Information

NPI Number	:	1538022736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AKI TACHIKI CAMPBELL L.AC.

Provider Business Mailing Address
First Line	:	68-3907 HOLOIMUA PL
Second Line	:
City	:	WAIKOLOA
State	:	HI
Zip	:	96738-5251
Country	:	US
Telephone Number	:	808-229-8957
Fax Number	:

Provider Business Practice Location Address
First Line	:	72-3996 PU'U KALA ROAD
Second Line	:
City	:	KAILUA-KONA
State	:	HI
Zip	:	96740
Country	:	US
Telephone Number	:	808-229-8957
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/04/2025

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