Individual
TANYA LEE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
888 S KING ST, HONOLULU, HI 96813-3097
(808) 532-3159
(808) 532-6556
Mailing address
333 AOLOA ST APT 211, KAILUA, HI 96734-3025
(808) 265-7225
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1602
HI
Other
Enumeration date
04/01/2014
Last updated
04/02/2014
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