Individual
KAWIKA TUPUOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1841 E RIVERSIDE DR STE 201, ST GEORGE, UT 84790-7061
(435) 256-8890
(833) 907-2388
Mailing address
6013 S REDWOOD RD, TAYLORSVILLE, UT 84123-5220
(801) 255-5131
(801) 255-5131
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
363A00000X
Physician Assistant
Primary
—
UT
Other
Enumeration date
03/01/2017
Last updated
09/26/2024
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