Kaneshiro, Kimberly Amanda

Kaneshiro, Kimberly Amanda is an individual health care provider with primary practice located at 667 N Marine Corps Dr Ste 204 , Tamuning GU 96913-4429. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Kaneshiro, Kimberly Amanda can be contacted via phone (671) 646-3679.

Contact Information

Primary practice address
667 N Marine Corps Dr Ste 204 Tamuning GU 96913-4429
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D1043 Guam
Dental Providers / Dentist 122300000X 0442000414 Virginia

Profile Details

NPI number 1225648322
LBN Legal business name Kaneshiro, Kimberly Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2020
Last updated Sep 14th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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