| Kellie A Fukumura, AMD | |
|
758 Kapahulu Ave, A-319, Honolulu, HI 96816-1196 | |
| (808) 922-4787 | |
| (808) 922-4950 |
| Full Name | Kellie A Fukumura |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 758 Kapahulu Ave, Honolulu, Hawaii |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750364626 | NPI | - | NPPES |
| 497603-01 | Other | HI | ALOHA CARE |
| 497603-01 | Medicaid | HI | |
| 00A0251122 | Other | HI | HMSA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | AMD 160 (Hawaii) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kellie A Fukumura, AMD 277 Ohua Ave, Honolulu, HI 96815-3643 Ph: (808) 922-4787 | Kellie A Fukumura, AMD 758 Kapahulu Ave, A-319, Honolulu, HI 96816-1196 Ph: (808) 922-4787 |
Mandi Sue Breyman, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1329 Lusitana St Ste 202, Honolulu, HI 96813 Phone: -- | |
Ryan David Asencios, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 770 Kapiolani Blvd Ste 705, Honolulu, HI 96813 Phone: 808-597-8791 | |
Marc A. Albertson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3288 Moanalua Rd, Honolulu, HI 96819 Phone: 808-432-0000 | |
Cody A. Shishido, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3288 Moanalua Rd, Honolulu, HI 96819 Phone: 808-432-0000 | |
Nicole Evans, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2230 Liliha St Ste 104, Honolulu, HI 96817 Phone: 808-261-4476 | |
Shaylee Jo Caulkins, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1401 S Beretania St Ste 102, Honolulu, HI 96814 Phone: 808-356-5699 | |
Timothy Quinn Howard, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 1029 Kapahulu Ave Ste 503, Honolulu, HI 96816 Phone: 808-218-7889 Fax: 808-218-7891 |