KELLIE A FUKUMURA PA-C
NPI 1750364626
Physician Assistant in Apo, WA

Active since November 23, 2005
35TH MEDICAL GROUP, MISAWA AIR BASE, APO, WA 96319(808) 779-1513 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Dec 11, 2020 (2 updates tracked since 2020).

About Kellie A Fukumura Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLIE A FUKUMURA PA-C (NPI 1750364626) is an individual physician assistant in Apo, Washington, licensed in Hawaii (AMD 160) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1750364626
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLIE A FUKUMURACredential: PA-C
Location Address35TH MEDICAL GROUP, MISAWA AIR BASEApo, WA 96319
Mailing Address277 Ohua AveHonolulu, HI 96815-3643 · (808) 922-4787 · Fax (808) 922-4950
Sole ProprietorNo
Enumeration DateNovember 23, 2005
Last NPPES UpdateJuly 23, 20252 updates tracked since enumeration
NPPES CertifiedJuly 14, 2025
NPI 1750364626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in HI · AMD 160 Licensed in HI · AMD-160
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
35TH MEDICAL GROUP, Apo, WA 96319

Other Identifiers 3

Other00A0251122HI · Hmsa
Other497603-01HI · Aloha Care
Medicaid497603-01HI

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
35TH MEDICAL GROUP, BLDG 99, UNIT 5024
APO, AP 96319
Physical Therapist
35TH MEDICAL GROUP
APO, AP 96319
Military Health Care Provider (Independent Duty Medical Technicians)
35TH MEDICAL GROUP, UNIT 5024
APO, AP 96319
Family Medicine
35TH MEDICAL GROUP, UNIT 5024
APO, AP 96319
Obstetrics & Gynecology
35TH MEDICAL GROUP, UNIT 5024
APO, AP 96319
Physician Assistant
35TH MEDICAL GROUP, BLDG# 99
APO, AP 96319
Preventive Medicine (Aerospace Medicine)
35TH MEDICAL GROUP, UNIT 5024
APO, AP 96319
Orthopaedic Surgery
35TH MEDICAL GROUP, UNIT 5024
APO, AP 96319

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellie Fukumura's NPI number?

The NPI number for Kellie Fukumura is 1750364626. It was assigned to this individual provider in the NPPES registry on November 23, 2005.

Where is Kellie Fukumura located?

Kellie Fukumura practices at 35th Medical Group Misawa Air Base, Apo, WA 96319. The listed phone number is (808) 779-1513.

What is Kellie Fukumura's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kellie Fukumura was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.