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Contact Information

TAMSYN KELLOUGH
2180 MAIN ST
WAILUKU, HI96793-1625
 Phone: 808-249-8080
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TAMSYN KELLOUGH · (Female)

NPI Number 1770143026
Status Active
Credentials
Entity Individual
Enumeration date 06/19/2019
Last updated 05/04/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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