Nakamura, Kelly Mie
Nakamura, Kelly Mie is an sole proprietor health care provider with primary practice located at 1301 Punchbowl St , Honolulu HI 96813-2499. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Nakamura, Kelly Mie can be contacted via phone (808) 691-1000.Contact Information
Primary practice address
1301 Punchbowl St
Honolulu HI 96813-2499
Phone: (808) 691-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD-20464 | Hawaii |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD60559499 | Washington |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD60559499 | Washington |
Profile Details
| NPI number | 1669748422 |
|---|---|
| LBN Legal business name | Nakamura, Kelly Mie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2012 |
| Last updated | Apr 22nd, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669748422 | NPPES |
| Washington | MEDICAID | 1669748422 | |
| Washington | MEDICAID | 833047 |
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