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NPI Code Detail

MEDICARE: TYLER KIMURA AGENCY, INC.

MEDICARE: TYLER KIMURA AGENCY, INC.
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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1295484392
Entity Type Code : Organization
Provider Name (Legal Business Name) : TYLER KIMURA AGENCY, INC.
Provider Business Mailing Address
First Line : 1001 DILLINGHAM BLVD STE 317
Second Line :
City : HONOLULU
State : HI
Zip : 96817-4551
Country : US
Telephone Number : 808-207-8558
Fax Number : 808-207-8559
Provider Business Practice Location Address
First Line : 1001 DILLINGHAM BLVD STE 317
Second Line :
City : HONOLULU
State : HI
Zip : 96817-4551
Country : US
Telephone Number : 808-207-8558
Fax Number : 808-207-8559
Authorized Official
Title or Position : CEO
Name : MR. TYLER TAKAMI KIMURA
Credential :
Telephone Number : 808-221-8425
Provider Enumeration Date : 03/23/2022
Last Update Date : 03/08/2024

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Directions to “TYLER KIMURA AGENCY, INC. ” Practice Location

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