Healthcare Provider Details

I. General information

NPI: 1528991882
Provider Name (Legal Business Name): KIMBERLY BUHAY GIBU DNP APRN-RX PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

928 NUUANU AVE
HONOLULU HI
96817-5190
US

IV. Provider business mailing address

928 NUUANU AVE
HONOLULU HI
96817-5190
US

V. Phone/Fax

Practice location:
  • Phone: 310-200-5513
  • Fax:
Mailing address:
  • Phone: 808-202-2855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN-6126-0
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: