Individual
HALEY KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 KUNEHI ST APT 206, KAPOLEI, HI 96707-2069
(931) 255-3830
Mailing address
550 KUNEHI ST APT 206, KAPOLEI, HI 96707-2069
(931) 255-3830
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
262871
TN
Other
Enumeration date
05/03/2025
Last updated
10/02/2025
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