Provider Demographics
NPI:1619323722
Name:A. KEN KOSEKI, JR., M.S., CCC-SLP, LLC
Entity Type:Organization
Organization Name:A. KEN KOSEKI, JR., M.S., CCC-SLP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:KEN
Authorized Official - Last Name:KOSEKI
Authorized Official - Suffix:JR
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:808-375-0615
Mailing Address - Street 1:7192 KALANIANAOLE HWY STE A143A
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-1849
Mailing Address - Country:US
Mailing Address - Phone:808-375-0615
Mailing Address - Fax:808-396-1495
Practice Address - Street 1:520 LUNALILO HOME RD UNIT 7203
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96825-1750
Practice Address - Country:US
Practice Address - Phone:808-375-0615
Practice Address - Fax:808-396-1495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-06
Last Update Date:2016-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI931235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty