person
Kelsie Tada
Medical Physician Assistant in Honolulu, Hawaii
NPI 1275904930

Kelsie Tada is a Medical Physician Assistant based in Honolulu, HI and is specialized in Medical. Kelsie Tada practices in Honolulu, HI. The NPI Number for Kelsie Tada is 1275904930 and holds a License No. AMD-654 (Hawaii).

The current practice location address for Kelsie Tada is 500 Ala Moana Blvd Ste 1-302, Honolulu, HI and can be reached out via phone at 808-528-3657 and via fax at 808-524-6552.

Location: 500 Ala Moana Blvd Ste 1-302, Honolulu, HI, 96813-4925
person
Provider Profile Details
NPI Number
1275904930
Provider Name
Kelsie Tada
Credential
Provider Entity Type
Individual
Gender
Female
Address
500 Ala Moana Blvd Ste 1-302, Honolulu, HI, 96813-4925
Phone Number
808-528-3657
Fax Number
808-524-6552
Provider Enumeration Date
10/07/2015
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
06819901 05 HI
institution
Provider Business Practice Location Address Details
Address
500 Ala Moana Blvd Ste 1-302
City
State
Zip
96813-4925
Phone Number
808-528-3657
Fax Number
808-524-6552
person
Provider Business Mailing Address Details
Address
500 Ala Moana Blvd Ste 1-302
City
State
Zip
96813-4925
Phone Number
808-528-3657
Fax Number
808-524-6552
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
AMD-654 (Hawaii)
Definition
Definition to come...
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