Individual
KEN DAIJI TSUBATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
407 ULUNIU ST, SUITE 107, KAILUA, HI 96734-2519
(808) 266-0066
(808) 263-6004
Mailing address
407 ULUNIU ST, SUITE 107, KAILUA, HI 96734-2519
(808) 266-0066
(808) 263-6004
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO 212
HI
Other
Enumeration date
08/10/2011
Last updated
08/22/2014
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