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NPI Code Detail

MEDICARE: MISS KELLIE HITOMI INOUYE MD

MEDICARE: MISS KELLIE HITOMI INOUYE MD
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
1207Q00000XFamily Medicine PhysicianPTL17672CA

General Provider Information

NPI Number : 1922854967
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS KELLIE HITOMI INOUYE MD
Provider Business Mailing Address
First Line : 5601 DE SOTO AVE
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-6798
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5601 DE SOTO AVE
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-6798
Country : US
Telephone Number : 818-719-3257
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2024
Last Update Date : 03/09/2026

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