Provider Information for 1699339226
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KASEY KAULULANI ULUWEHI TIPPETS
Sex: Female
NPI: 1699339226
Last Updated: 2020-11-30
Certification Date: 2020-11-30
Certification Date: 2020-11-30
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1699339226 | ||||||||||||||||
| Enumeration Date | 2019-04-29 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 6147 SUTTER AVE CARMICHAEL, CA 95608-2738 United States Phone: 916-897-1434 | Fax: | ||||||||||||||||
| Primary Practice Address | 6147 SUTTER AVE CARMICHAEL, CA 95608-2738 United States Phone: 916-897-1434 | Fax: | ||||||||||||||||
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