Organization Active NPI

Kimpact Wellness Limited

  • Clinic/Center
  • Honolulu, HI
National Provider Identifier
1609376284
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
KIMPACT WELLNESS LIMITED
Practice address
7192 Kalanianaole Hwy
Honolulu, HI 96825-1800
Phone
(760) 583-1997
NPI assigned
Feb 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hyelee Kim, NP
Title
Owner
Phone
(760) 583-1997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

7192 Kalanianaole Hwy
Honolulu, HI 96825-1800

Mailing address

1246 Akele St
Kailua, HI 96734-4221

National Provider Directory

National Provider Directory

Locations

7192 Kalanianaole Hwy
Ste D204B
Honolulu, HI 96825
Phone (401) 371-6463

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519084800000",
    "number": "1609376284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1246 AKELE ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7192 KALANIANAOLE HWY",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251800",
            "telephone_number": "760-583-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMPACT WELLNESS LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HYELEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-583-1997",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.