Individual
DR. KATHY A.K. ISHIMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
94-849 LUMIAINA STREET, SUITE 103, WAIPAHU, HI 96797
(808) 671-1656
(808) 671-2020
Mailing address
94-849 LUMIAINA STREET, SUITE 103, WAIPAHU, HI 96797
(808) 671-1656
(808) 671-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
161
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55923
GROUP NUMBER HONOLULU SIT
HI
01
—
55928
GROUP NUMBER WAIPAHU SITE
HI
Enumeration date
01/05/2007
Last updated
09/11/2012
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