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Kimberly C Koga, MS, CCC-SLP

Speech-Language Pathologist, in Hilo, HI. Individual provider (NPI-1).

NPI number1740970581
StatusActive
Last updated in NPPESOct 21, 2024

Details

NPI
1740970581
Entity type
Individual (NPI-1)
Name
Ms. Kimberly C Koga
Credential
MS, CCC-SLP
Sex
Female
Sole proprietor
No
Enumeration date
May 12, 2023
Certification date
May 12, 2023
Last updated
Oct 21, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SP-1364HIYes

Practice location

2148 Awapuhi Street
Hilo, HI 96720-5290

Phone 808-365-8128 · Fax 808-961-6383

Mailing address

154 Hookano St
Hilo, HI 96720-3410

Phone 808-445-8425

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Speech-Language Pathologist providers in Hilo, HI

All 29 Speech-Language Pathologist providers in Hilo · All 2,324 providers in Hilo

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