Individual
KELLY STUMPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
354 ULUNIU ST, SUITE 404, KAILUA, HI 96734-2528
(808) 262-1118
Mailing address
354 ULUNIU ST, STE 404, KAILUA, HI 96734-2534
(808) 262-1118
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-4332
HI
225100000X
Physical Therapist
PT60384442
WA
Other
Enumeration date
08/12/2013
Last updated
04/13/2017
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