MR. KENNETH TAKESHI NAKASONE


Address: 914a Coolidge St, Honolulu, HI 96826-3031
Phone: 8083750968

MR. KENNETH TAKESHI NAKASONE (NPI# 1932269297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932269297
Entity Type Individual
Full Name MR. KENNETH TAKESHI NAKASONE
Credential PT, ATC, CSCS
Practice Address 914a Coolidge St
Honolulu
HI 96826-3031
Practice Telephone 8083750968
Mailing Telephone 8083750968
Enumeration Date 2006-12-09
Last Update Date 2013-10-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251X0800X Physical Therapist
Specialization: Orthopedic
PT-2354 HI Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 914A COOLIDGE ST
City HONOLULU
State HI
Zip Code 96826-3031

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Taxonomy Information

Taxonomy Code 2251X0800X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Orthopedic

Taxonomy Definition

Definition to come...

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1295806347 Elizabeth Tanaka Physical Therapist 3420 Alohea Ave, Honolulu, HI 96816-2206 2006-11-12
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Competitor

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City HONOLULU
Zip Code 96826

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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