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NPI Code Detail

MEDICARE: KASEY KUNI KAM APRN, AGPCNP-BC

MEDICARE: KASEY KUNI KAM APRN, AGPCNP-BC
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
1363L00000XNurse Practitioner14261786-3102UT
2363L00000XNurse Practitioner10026580OR
3363L00000XNurse PractitionerAPRN-3023HI
4363L00000XNurse PractitionerTELE302862AZ
5163W00000XRegistered Nurse88197HI
6363L00000XNurse Practitioner86424NM
7363L00000XNurse PractitionerAPN.0999661-NPCO

General Provider Information

NPI Number : 1013572338
Entity Type Code : Individual
Provider Name (Legal Business Name) : KASEY KUNI KAM APRN, AGPCNP-BC
Provider Business Mailing Address
First Line : PO BOX 211699
Second Line :
City : EAGAN
State : MN
Zip : 55121-3699
Country : US
Telephone Number : 866-849-0692
Fax Number : 888-973-8821
Provider Business Practice Location Address
First Line : 500 ALA MOANA BLVD STE 450
Second Line :
City : HONOLULU
State : HI
Zip : 96813-4920
Country : US
Telephone Number : 866-849-0692
Fax Number : 888-973-8821
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2019
Last Update Date : 01/27/2026

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