Provider Demographics
NPI:1205040185
Name:GOMES, FRANCIS KELIINANI (ATC)
Entity type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:KELIINANI
Last Name:GOMES
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 OMAO ST
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2149
Mailing Address - Country:US
Mailing Address - Phone:303-810-4865
Mailing Address - Fax:
Practice Address - Street 1:425 KAMEHAMEHA HWY
Practice Address - Street 2:2B
Practice Address - City:PEARL CITY
Practice Address - State:HI
Practice Address - Zip Code:96782-3238
Practice Address - Country:US
Practice Address - Phone:808-487-9494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer