# KELLY M.L. PANG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1679926216
- **Gender:** F
- **Credential:** P.T.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 0616-01 | HI | Yes |

## Other

- **Enumeration date:** 07/19/2016
- **Last updated:** 07/19/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 99-0353213 | HMAA | HI |