Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kellie A Fukumura, PA-C

Individual provider Physician Assistant · NPI 1750364626

Kellie A Fukumura, PA-C is a Physician Assistant in APO, Washington. Licensed in Hawaii. Registered with an NPI since 2005.

Licensed in
HI
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

35TH Medical Group Misawa Air Base
APO, WA 96319
Phone: (808) 779-1513

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence AMD 160 (HI)
Physician Assistant Taxonomy 363A00000X · Licence AMD-160 (HI)

Record details

NPI number1750364626
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 23, 2005
Last updated in NPPESJuly 23, 2025
Certification dateJuly 14, 2025

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