MEDICARE: WYATT KIM MD

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
1	2084P0800X	Psychiatry Physician	MDR-9198-0	HI

General Provider Information

NPI Number	:	1912840836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WYATT KIM MD

Provider Business Mailing Address
First Line	:	1356 LUSITANA ST FL 4
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96813-2409
Country	:	US
Telephone Number	:	808-691-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1356 LUSITANA ST FL 4
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96813-2409
Country	:	US
Telephone Number	:	808-691-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

Similar Medicare Providers

1083309355 — JEFFREY H NGUYEN MD
Practice Location Address:

1356 LUSITANA ST FL 7
HONOLULU, HI
96813-2409

Practice Phone: 808-691-4970
Practice Fax:

1811830789 — MINH NGUYEN MD
Practice Location Address:

1356 LUSITANA ST FL 7
HONOLULU, HI
96813-2409

Practice Phone: 808-691-4970
Practice Fax:

1316880172 — DR. CAMERON BEAN MD, MPH
Practice Location Address:

1356 LUSITANA ST FL 7
HONOLULU, HI
96813-2409

Practice Phone: 808-691-4970
Practice Fax:

1568306207 — DR. TIMOTHY A HOLMES DO
Practice Location Address:

1356 LUSITANA ST FL 7
HONOLULU, HI
96813-2409

Practice Phone: 808-691-4970
Practice Fax:

1396502472 — NICOLAS ARTZ MD
Practice Location Address:

1356 LUSITANA ST FL 6
HONOLULU, HI
96813-2409

Practice Phone: 682-557-0730
Practice Fax: 808-691-1000

1770536070 — DR. ANTHONY GUERRERO M.D.
Practice Location Address:

1356 LUSITANA ST FL 4
HONOLULU, HI
96813-2409

Practice Phone: 808-586-2900
Practice Fax:

Directions to “ WYATT KIM MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.