Michelle Kazuko Fukumoto


Address: 1110 University Avenue, Suite 403, Honolulu, HI 96826-1532
Phone: 8085946217

Michelle Kazuko Fukumoto (NPI# 1134436041, PAC ID# 9638495229) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1134436041
PAC ID by PECOS 9638495229
Professional Enrollment ID I20150225001154
Full Name Michelle Kazuko Fukumoto
Address 1110 University Avenue
Suite 403
Honolulu
HI 96826-1532
Phone Number 8085946217
Gender F
Graduation Year 2013
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1110 University Avenue, Suite 403, Honolulu, HI 96826-1532 8085946217

Organization Information

Office Location

Street Address 1110 UNIVERSITY AVENUE
SUITE 403
City HONOLULU
State HI
Zip 96826-1532

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Competitor

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City HONOLULU
Zip Code 96826
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty HONOLULU + PSYCHOLOGIST, CLINICAL

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Dataset Information

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.

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