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NPI Code Detail

MEDICARE: CAMERON SIMMONS

MEDICARE: CAMERON SIMMONS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care CoordinatorHI

General Provider Information

NPI Number : 1467318774
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMERON SIMMONS
Provider Business Mailing Address
First Line : 1417 ALEXANDER ST APT B1
Second Line :
City : HONOLULU
State : HI
Zip : 96822-4937
Country : US
Telephone Number : 916-932-6562
Fax Number :
Provider Business Practice Location Address
First Line : 91-1841 FORT WEAVER RD
Second Line :
City : EWA BEACH
State : HI
Zip : 96706-1909
Country : US
Telephone Number : 808-681-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2025
Last Update Date : 12/30/2025

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Directions to “ CAMERON SIMMONS ” Practice Location

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