Provider Demographics
NPI:1205345618
Name:FUJINAKA, KELSEY (PSYD)
Entity type:Individual
Prefix:DR
First Name:KELSEY
Middle Name:
Last Name:FUJINAKA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 25162
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-0162
Mailing Address - Country:US
Mailing Address - Phone:808-497-1404
Mailing Address - Fax:
Practice Address - Street 1:1441 KAPIOLANI BLVD STE 1802
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4408
Practice Address - Country:US
Practice Address - Phone:808-525-6255
Practice Address - Fax:808-525-6255
Is Sole Proprietor?:No
Enumeration Date:2017-09-28
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY-1691103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical