Individual
DR. ELISSA KAWAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
6700 WASHINGTON AVE S, EDEN PRAIRIE, MN 55344-3405
(800) 328-8602
Mailing address
38 W PECAN PL, TEMPE, AZ 85284-2268
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
2355A2700X
Audiology Assistant
DA14129
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA14129
AUDIOLOGY LICENSE NUMBER
—
Enumeration date
09/12/2022
Last updated
03/02/2026
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