Individual
MR. KURT C.L. GO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, RD/LD, LMT
Contact information
Practice address
305 ONIONI DR., KAWELA PLANTATION 1 - LOT 42, KAUNAKAKAI, HI 96748-0319
(808) 336-1115
Mailing address
PO BOX 319, KAUNAKAKAI, HI 96748-0319
(808) 336-1115
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
2255A2300X
Athletic Trainer
—
—
225700000X
Massage Therapist
12983
HI
Other
Enumeration date
08/14/2006
Last updated
07/15/2014
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