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Individual

KEVIN LEE FUJIMOTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
45-955 KAMEHAMEHA HWY, SUITE 206, KANEOHE, HI 96744-3222
(808) 218-8733
Mailing address
45-955 KAMEHAMEHA HWY, SUITE 206, KANEOHE, HI 96744-3222
(808) 218-8733

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY861
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A0247641
HMSA PROVIDER #
HI
Enumeration date
02/05/2007
Last updated
03/23/2009
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