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Individual

DR. TAMMIE A KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
4747 KILAUEA AVE, SUITE 108, HONOLULU, HI 96816-5308
(808) 392-6093
(808) 373-5323
Mailing address
4747 KILAUEA AVE, SUITE 108, HONOLULU, HI 96816
(808) 392-6093
(808) 373-5323

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY785
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
239236
HMSA QUEST
HI
01
56534301
ALOHACARE
05
56534301
HI
01
TRICARE
239236
HI
Enumeration date
06/08/2006
Last updated
02/04/2011
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