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Individual

MS. KACIE KENKO GOKAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
725 KAPIOLANI BLVD STE C206, HONOLULU, HI 96813-6024
(808) 596-0099
Mailing address
98-615 KILINOE ST APT 6H1, AIEA, HI 96701-2192
(808) 780-1273

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SP-2098
HI
235Z00000X
Speech-Language Pathologist
Primary
SP-2098
HI

Other

Enumeration date
02/23/2022
Last updated
02/01/2023
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