Individual
DR. KIMBERLY JO MANGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, AGACNP-BC
Contact information
Practice address
#A1-5200, 1100 NUUANU AVENUE, HONOLULU, HI 96871
(202) 509-5456
Mailing address
#A1-5200, 1100 NUUANU AVENUE, HONOLULU, HI 96871
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
APRN-3313
HI
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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