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Individual

MR. KAYLEN TOSHIO WAKUMOTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.T

Contact information

Practice address
3088 AUKELE STREET, LIHUE, HI 96766
(808) 632-0033
(808) 632-0077
Mailing address
P.O. BOX 288, LIHUE, HI 96766
(808) 632-0033
(808) 632-0077

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT-4313
HI

Other

Enumeration date
03/01/2018
Last updated
04/10/2018
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