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General NPI Number Information
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NPI Number | 1093390056
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Entity Type | Organization
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Legal Business Name | KEIZER KAUKA LLC
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Dates
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Enumeration Date | 03/11/2021
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 425 KAMEHAMEHA HWY STE 1
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City | PEARL CITY
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State | HI
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Zip | 96782-3295
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Country | US
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Telephone | 808-347-1645
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Fax | 866-592-3149
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Provider Business Mailing Address
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Address Line | 803 KAMEHAMEHA HIGHWAY SUITE 400, 402, 404
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City | PEARL CITY
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State | HI
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Zip | 96782-3295
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Country | US
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Telephone | 808-347-1645
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Fax | 351-200-8379
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Authorized Official
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Title or Position | MD
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Name | DR. DOREEN FUKUSHIMA
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Credential |
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Telephone | 209-629-7490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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