Healthcare Provider Details

I. General information

NPI: 1780530642
Provider Name (Legal Business Name): CHRISTINE CHUN-KIM RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2026
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 QUEEN EMMA ST APT 1406
HONOLULU HI
96813-6307
US

IV. Provider business mailing address

1200 QUEEN EMMA ST APT 1406
HONOLULU HI
96813-6307
US

V. Phone/Fax

Practice location:
  • Phone: 808-383-7752
  • Fax:
Mailing address:
  • Phone: 808-383-7752
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License NumberRN-93684
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: