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Individual
KELLIE M. O. TAKASHIMA
Active
Individual
KELLIE M. O. TAKASHIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
339604
NY
363L00000X
Nurse Practitioner
Primary
95002446
CA
363LF0000X
Family Nurse Practitioner
AP60755079
WA
363LF0000X
Family Nurse Practitioner
AP7772
AZ
363LF0000X
Family Nurse Practitioner
RN2300400
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000220004
HMSA BILLING NUMBER
HI
05
—
55037802
—
HI
Enumeration date
10/19/2006
Last updated
10/02/2025
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