Individual
KATHLEEN A L OGINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1001 KAMOKILA BLVD, #114, KAPOLEI, HI 96707-2097
(808) 674-0500
(808) 674-0511
Mailing address
92-1448 PALAHIA ST, KAPOLEI, HI 96707-3306
(808) 599-0045
(808) 591-0004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT784
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C0240915
TRIWEST
HI
01
—
204435027
HMAA
HI
01
—
525690
SUMMERLIN
HI
05
—
567414
—
HI
01
—
7848787
UHA
HI
Enumeration date
05/23/2006
Last updated
02/23/2023
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