Individual
MS. KIMBERLY C KOGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
2148 AWAPUHI STREET, HILO, HI 96720-5290
(808) 365-8128
(808) 961-6383
Mailing address
154 HOOKANO ST, HILO, HI 96720-3410
(808) 445-8425
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1364
HI
Other
Enumeration date
05/12/2023
Last updated
10/21/2024
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