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Individual
MR. KENNETH SHINJI KISHIHARA
Active
Individual
MR. KENNETH SHINJI KISHIHARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.T.
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT3030
CA
Other
Enumeration date
07/10/2007
Last updated
10/04/2012
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