Individual
MR. NED KEN SHIMABUKURO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
16-590 OLD VOLCANO RD # A, KEAAU, HI 96749-8100
(808) 966-7478
(808) 966-7479
Mailing address
16-590 OLD VOLCANO RD # A, KEAAU, HI 96749-8100
(808) 966-7478
(808) 966-7479
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
795
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02588201
—
HI
Enumeration date
03/12/2007
Last updated
07/08/2007
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