Individual
DR. KEN SAKUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
550 S BERETANIA ST, 4081, HONOLULU, HI 96813-2405
(808) 690-4727
(808) 777-1016
Mailing address
PO BOX 29089, HONOLULU, HI 96820-1489
(808) 690-4727
(808) 777-1016
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO12402
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005906
—
HI
01
—
00F005394
HMSA/BCBS PROVIDER NUMBER
HI
Enumeration date
06/04/2006
Last updated
11/07/2007
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