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NPI Code Detail

MEDICARE: KELLI KOBASHIGAWA

MEDICARE:   KELLI  KOBASHIGAWA
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
1163WA2000XAdministrator Registered NurseRN-43653HI

General Provider Information

NPI Number : 1912752254
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLI KOBASHIGAWA
Provider Business Mailing Address
First Line : 459 PATTERSON RD
Second Line :
City : HONOLULU
State : HI
Zip : 96819-1522
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 91-1097 KAI OIO ST
Second Line :
City : EWA BEACH
State : HI
Zip : 96706-6279
Country : US
Telephone Number : 808-433-5195
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2024
Last Update Date : 04/19/2024

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Directions to “ KELLI KOBASHIGAWA ” Practice Location

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