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Individual

MR. PAUL KEN MATSUMOTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
770 KAPIOLANI BLVD, SUITE 104, HONOLULU, HI 96813-5212
(808) 596-9446
(808) 596-9160
Mailing address
770 KAPIOLANI BLVD, SUITE 104, HONOLULU, HI 96813-5212
(808) 596-9446
(808) 596-9160

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1772
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00C0223549
HMSA QUEST NUMBER
HI
01
20-0684033
HMAA NUMBER
HI
01
200684033
UHC NUMBER
HI
01
201834
HMA NUMBER
HI
01
209006700
OWCP NUMBER
HI
05
24883001
HI
01
24883003
ALOHA CARE NUMBER
HI
01
3740566
UHA NUMBER
HI
01
C0223549
HMSA NUMBER
HI
01
Z1654
QUEENS HEALTH CARE PLAN
HI
Enumeration date
12/08/2006
Last updated
07/09/2007
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