Individual
DR. KELLY MIE NAKAMURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2499
(808) 691-1000
Mailing address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2499
(808) 691-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60559499
WA
208M00000X
Hospitalist Physician
Primary
MD-20464
HI
208M00000X
Hospitalist Physician
MD60559499
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669748422
—
WA
05
—
833047
—
HI
Enumeration date
03/27/2012
Last updated
04/22/2022
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