Individual
KELSEY KUMIJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
944 W KAWAILANI ST, HILO, HI 96720
(808) 959-9151
Mailing address
415 HUALI PL, HILO, HI 96720-2615
(808) 936-2677
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00009876
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8436214
—
WA
Enumeration date
08/31/2006
Last updated
08/20/2012
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