Individual
KELLY SHIGEYO SHIBUYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1380 LUSITANA ST STE 604, HONOLULU, HI 96813-2442
(808) 523-2020
Mailing address
1265 NEHOA ST, HONOLULU, HI 96822-3071
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD-22670
HI
Other
Enumeration date
05/23/2019
Last updated
10/15/2024
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