Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 4767 | HI |
N | 207V00000X | Obstetrician & Gynecologist | MD-15082 | HI |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 15082 | HI |
NPI | 1114138450 |
---|---|
Provider Name | Kelly Yamasato |
First Address | Honolulu, HI 96826-1032 |
Second Address | Honolulu, HI 96826 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2007 |
Last Update Date | 02/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
MD-15082 | DEPARTMENT OF COMMERCE & CONSUMER AFFAIRS (01) | HI |