| Dr Athena Kim Llc | |
|
1029 Kapahulu Ave Ste 406 Honolulu HI 96816-1332 | |
| (808) 753-8355 | |
| Not Available |
| Full Name | Dr Athena Kim Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1029 Kapahulu Ave Ste 406, Honolulu, Hawaii |
| Authorized Official Name and Position | Athena Kim-romero (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8087538355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Athena Kim Llc Po Box 22393 Honolulu HI 96823-2393 Ph: (808) 753-8355 | Dr Athena Kim Llc 1029 Kapahulu Ave Ste 406 Honolulu HI 96816-1332 Ph: (808) 753-8355 |
| NPI Number | 1912562513 |
|---|---|
| Provider Enumeration Date | 05/08/2019 |
| Last Update Date | 05/08/2019 |
| Medicare PECOS PAC ID | 1759616584 |
|---|---|
| Medicare Enrollment ID | O20190716001180 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912562513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Athena S Kim-romero |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780157891 PECOS PAC ID: 0143555987 Enrollment ID: I20190716001706 |
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