Individual
MR. JOHN B. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
91-2301 FORT WEAVER RD, EWA BEACH, HI 96706-3602
(808) 671-8511
(808) 676-8035
Mailing address
91-2301 FORT WEAVER RD, EWA BEACH, HI 96706-3602
(808) 671-8511
(808) 676-8035
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-3089
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000248385
HMSA
HI
05
—
554825
—
HI
01
—
55482501
ALOHACARE
HI
01
—
788861
UNIVERSITY HEALTH ALLIANC
HI
01
—
990298651-96706-C002
TRICARE
HI
Enumeration date
06/14/2006
Last updated
02/12/2009
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