Guam Board of Medical Examiners (GBME)

PROVIDERS

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Keitaroh Takeda

Board: Guam Board of Medical Examiners
Type of Provider: GBME
License Number: M-2357
License Status: Valid
License Expiration Date: 12/31/2025
NPI#: 1184076135
Felony Conviction(s): None
Misdemeanor Conviction(s): None
Conditions/Limitations: None

Keith Y Terada

Board: Guam Board of Medical Examiners
Type of Provider: GBME
License Number: M-1964
License Status: Expired
License Expiration Date: 12/31/2021
Felony Conviction(s): None
Misdemeanor Conviction(s): None
Conditions/Limitations: None

Keith R. Glenn

Board: Guam Board of Medical Examiners
Type of Provider: GBME
License Number: M-2406
License Status: Valid
License Expiration Date: 12/31/2025
NPI#: 1487044608
Felony Conviction(s): None
Misdemeanor Conviction(s): None
Conditions/Limitations: None

Keith L. Wilkens

Board: Guam Board of Medical Examiners
Type of Provider: GBME
License Number: M-2315
License Status: Valid
License Expiration Date: 12/31/2025
NPI#: 1164595807
Felony Conviction(s): None
Misdemeanor Conviction(s): None
Conditions/Limitations: None

Kelli M. Jarrett

Board: Guam Board of Medical Examiners
Type of Provider: GBME
License Number: M-2417
License Status: Valid
License Expiration Date: 12/31/2025
NPI#: 1144665316
Felony Conviction(s): None
Misdemeanor Conviction(s): None
Conditions/Limitations: None

Kelly Gray

Board: Guam Board of Medical Examiners
Type of Provider: GBME
License Number: M-2252
License Status: Expired
License Expiration Date: 12/31/2023
Felony Conviction(s): None
Misdemeanor Conviction(s): None
Conditions/Limitations: None

Kelvin D. Santos

Board: Guam Board of Medical Examiners
Type of Provider: GBME
License Number: M-2427
License Status: Valid
License Expiration Date: 12/31/2025
NPI#: 1073925442
Felony Conviction(s): None
Misdemeanor Conviction(s): None
Conditions/Limitations: None

Keng-Chih Su

Board: Guam Board of Medical Examiners
Type of Provider: GBME
License Number: M-2454
License Status: Valid
License Expiration Date: 12/31/2025
NPI#: 1700011475
Felony Conviction(s): None
Misdemeanor Conviction(s): None
Conditions/Limitations: None

Kenneth T Tan

Board: Guam Board of Medical Examiners
Type of Provider: GBME
License Number: M-2019
License Status: Expired
License Expiration Date: 12/31/2021
Felony Conviction(s): None
Misdemeanor Conviction(s): None
Conditions/Limitations: None

Kenneth M Edstrom

Board: Guam Board of Medical Examiners
Type of Provider: GBME
License Number: M-2156
License Status: Expired
License Expiration Date: 12/21/2023
Felony Conviction(s): None
Misdemeanor Conviction(s): None
Conditions/Limitations: None