| Doctor Name: | KEITH M HORINOUCHI |
| NPI Number: | 1073682415 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.N.T. |
| License Number: | NUT000002 |
| Business Practice Address: | 226 Chalan San Antonio 226 C/d Chalan San Antonio Tamuning, GU - 96913 |
| Business Phone Number: | 6716469333 |
| Business Fax Number: | 6716469334 |
| Mailing Address: | 226 C/d Chalan San Antonio, Amparos Business Center TAMUNING |
| State: | GU |
| Postal Code: | 96913 |
| Phone Number: | 6716469333 |
| Fax Number: | 6716469334 |
| NPI Enumeration Date: | 11/07/2006 |
| NPI Last Update Date: | 08/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133NN1002X |
| License Number: | NUT000002 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GU |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Nutritionist |
| Taxonomy Specialization: | Nutrition, Education |
| Taxonomy Definition: | |