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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLIE A FUKUMURA, PA-C

Active

KELLIE A FUKUMURA, PA-C is a Physician Assistant healthcare provider located in APO, Washington. NPI 1750364626 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · APO, WA

Registration Details

NPI Number
1750364626
Provider Type
Individual
Gender
Female
NPI Issued
Nov 23, 2005 (20.712352775945 yrs)
Last Updated
Jul 23, 2025
Licenses
AMD-160 (HI)
AMD 160 (HI)

Practice Information

Address
35TH MEDICAL GROUP
MISAWA AIR BASE
APO, WA, 96319
Browse WA providers · Browse ZIP 96319
Phone
8087791513
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in APO, WA

Name Credential NPI
MR. DAVID LEE MOHLER P.A. 1700852936
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.