Search › Washington › 363A00000X
Kellie Fukumura, PA-C
NPI 1750364626 · on the registry since 2005
Practice
- Address
- 35th Medical Group
Misawa Air Base
Apo, WA 96319 - Phone
- (808) 779-1513
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- HI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-07-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington