Individual
MS. KESHA C MIMMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
952 N KING ST, HONOLULU, HI 96817-4556
(808) 841-7981
Mailing address
1303 DOMINIS ST APT 16, HONOLULU, HI 96822-3020
(978) 239-0412
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2270873
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN-2794
HI
Other
Enumeration date
10/31/2018
Last updated
03/10/2022
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