Individual
KATHLEEN E. BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1010 PENSACOLA ST, HONOLULU, HI 96814-2118
(808) 432-2000
Mailing address
1010 PENSACOLA ST, HONOLULU, HI 96814-2118
(808) 432-2000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1408
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000261883
HMSA BILLING NUMBER
HI
Enumeration date
06/02/2006
Last updated
10/09/2007
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