DR. KIMBERLY K HOOVERSON


Address: 1146 Fort Steeet Mall, Honolulu, HI 96813
Phone: 8089403831

DR. KIMBERLY K HOOVERSON (NPI# 1598992919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598992919
Entity Type Individual
Full Name DR. KIMBERLY K HOOVERSON
Credential DO
Practice Address 1146 Fort Steeet Mall
Honolulu
HI 96813
Mailing Address 2902 Kuhio Ave
Apt 1405
Honolulu
HI 96815
Practice Telephone 8089403831
Mailing Telephone 2062272052
Enumeration Date 2009-06-11
Last Update Date 2019-02-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 1392 HI Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1 Jarrett White Rd, Tripler Army Medical Center, Tripler Army Medical Center, HI 968595001 2062272052
3615 Harding Ave Ste 305b, Honolulu, HI 968163759 2062272052
2902 Kuhio Ave, Apt 1405, Honolulu, HI 96815 8089403831

Office Location

Street Address 1146 FORT STEEET MALL
City HONOLULU
State HI
Zip Code 96813

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1134761109 Florence Kwitonda Behavior Technician 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 2019-10-11
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1851949069 Miho Camarata Behavior Technician Attn: Behavioral Health Works 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 2019-08-30
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1568022580 Fataly Willy Behavioral Analyst 500 Alamoana Blvd #7-400, Honolulu, HI 96813 2019-06-20
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619444569 Optimized Health LLC General Practice 1441 Kapiolani Blvd Ste 1114, #23464, Honolulu, HI 96814 2018-10-30
1366926313 Doctors of Waikiki General Practice 120 Kaiulani Ave Unit 10&11, Honolulu, HI 96815-6203 2018-09-15
1023517968 Woundtech of Hawaii, Inc General Practice 120 Kaiulani Ave Ste 10-11, Honolulu, HI 96815-6203 2018-02-06
1285184796 Summer Breeze LLC General Practice 4211 Waialae #202, Honolulu, HI 96816-5319 2016-10-07
1134540404 Carolyn J. Mai General Practice 1522 Makaloa St, Suite 201, Honolulu, HI 96814-3255 2014-01-03
1316389828 Robert Henry Nathanson General Practice 1520 Ward Ave, #602, Honolulu, HI 96822-3569 2013-07-25
1003156092 Zhelah B Kayce General Practice 1009 Kapiolani Blvd, #4607, Honolulu, HI 96814-2112 2013-02-27
1366763567 Samuel G Hawk General Practice 1345 S Beretania St Ste 101, Honolulu, HI 96814-1802 2010-06-22
1982889028 David Itsuo Miyauchi General Practice 970 Valley View Drive, Honolulu, HI 96819 2008-01-08
1154547768 Keith Stephenson General Practice 2310 Kuhio Ave Ste 223, Honolulu, HI 96815-2950 2007-04-18
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Competitor

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City HONOLULU
Zip Code 96813

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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