Individual
ROBERT E. H. KIKUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
80 MAHALANI ST, WAILUKU, HI 96793-2531
(808) 243-6514
Mailing address
80 MAHALANI ST, WAILUKU, HI 96793-2531
(808) 243-6514
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1797
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000261776
HMSA BILLING NUMBER
HI
05
—
59128101
—
HI
Enumeration date
06/13/2006
Last updated
10/09/2007
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