Individual
KYLIE TANAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
91-5431 KAPOLEI PKWY, KAPOLEI, HI 96707-5000
(808) 426-9300
Mailing address
91-5431 KAPOLEI PKWY, KAPOLEI, HI 96707-5000
(808) 426-9300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
HI
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
09/12/2021
Last updated
02/19/2025
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