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NPI Code Detail

MEDICARE: SHAYE KIMURA

MEDICARE:   SHAYE  KIMURA
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
1101YM0800XMental Health CounselorMHC616HI

General Provider Information

NPI Number : 1730598087
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAYE KIMURA
Provider Business Mailing Address
First Line : 615 PIIKOI ST STE 203
Second Line :
City : HONOLULU
State : HI
Zip : 96814-3139
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 98-030 HEKAHA ST STE 23
Second Line :
City : AIEA
State : HI
Zip : 96701-4911
Country : US
Telephone Number : 808-321-9948
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2014
Last Update Date : 05/12/2024

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Directions to “ SHAYE KIMURA ” Practice Location

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