Kelly Runge (NPI# 1528442639, PAC ID# 9032408380) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1528442639 |
| PAC ID by PECOS | 9032408380 |
| Professional Enrollment ID | I20160510001634 |
| Full Name | Kelly Runge |
| Organization Legal Name | KIMURA PHYSICAL THERAPY |
| Address |
1742 Kaahumanu Ave Wailuku HI 96793-2407 |
| Phone Number | 8082437870 |
| Gender | F |
| Medical School | A T STILL UN, ARIZONA SCHL OF DENT.Y & ORAL HLTH |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 0446300461 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1742 Kaahumanu Ave, Wailuku, HI 96793-2407 | 8082437870 | KIMURA PHYSICAL THERAPY |
| Organization Legal Name | KIMURA PHYSICAL THERAPY |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terri Lynne Driesel | Physical Therapy | Kimura Physical Therapy | 535 Lipoa Pkwy, Suite 151, Kihei, HI 96753-6902 |
| Robert John Silva Pt, Dpt | Physical Therapy | Kimura Physical Therapy | 1742 Kaahumanu Ave, Wailuku, HI 96793-2407 |
| Malia Kimura | Physical Therapy | Kimura Physical Therapy | 535 Lipoa Pkwy, Suite 151, Kihei, HI 96753-6902 |
| Lisa A Gregoire | Physical Therapy | Kimura Physical Therapy | 535 Lipoa Pkwy, Suite 151, Kihei, HI 96753-6902 |
| Street Address |
1742 KAAHUMANU AVE |
| City | WAILUKU |
| State | HI |
| Zip | 96793-2407 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert John Silva Pt, Dpt | Physical Therapy | Kimura Physical Therapy | 1742 Kaahumanu Ave, Wailuku, HI 96793-2407 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Soren Carlsen | Urology | 1883 Mill St, Wailuku, HI 96793-1236 | |
| Robert D Lanser Jr. | Clinical Social Worker | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| David J Wittenberg | Psychologist, Clinical | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Bahram Taghavi | Psychiatry | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Margaret E Goldberg | Clinical Social Worker | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| George L Carlson | Addiction Medicine | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Connie J Debord | Clinical Social Worker | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Joel Tapler | Clinical Social Worker | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Royal Randolph Jr. | Psychiatry | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Sharilyn Jane Butteling | Nurse Practitioner | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Find all physicians in zip 96793 | |||
| City | WAILUKU |
| Zip Code | 96793 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | WAILUKU + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Kelly Runge.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.