Individual
KATHLEEN A. MORIMOTO-NISHIOKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
45-602 KAMEHAMEHA HWY, KANEOHE, HI 96744-2017
(808) 432-3800
Mailing address
45-602 KAMEHAMEHA HWY, KANEOHE, HI 96744-2017
(808) 432-3800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11912
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000235952
BC/BS PROVIDER NUMBER
HI
05
—
52762401
—
HI
Enumeration date
08/02/2006
Last updated
07/06/2021
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