Individual
KENNETH MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
81 MAKAWAO AVE STE 110, MAKAWAO, HI 96768-8859
(808) 572-2281
Mailing address
1836 KAOHU ST, WAILUKU, HI 96793-2310
(732) 500-8714
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-6055
HI
Other
Enumeration date
11/27/2024
Last updated
11/29/2024
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