Kathy Kim Anderson Kam, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

23758 Issued in HI

Practice address

480 Central Ave
Pearl Harbor, HI 96860-4908

Phone

(808) 473-1880

Fax

(808) 473-4452

NPI assigned

Oct 30, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kathy Kim Anderson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225324800000",
    "number": "1730332081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 CENTRAL AVE",
            "city": "PEARL HARBOR",
            "state": "HI",
            "postal_code": "968604908",
            "telephone_number": "808-473-1880",
            "fax_number": "808-473-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 CENTRAL AVE",
            "city": "PEARL HARBOR",
            "state": "HI",
            "postal_code": "968604908",
            "telephone_number": "808-473-1880",
            "fax_number": "808-473-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAM",
        "first_name": "KATHY",
        "middle_name": "KIM ANDERSON",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-30",
        "last_updated": "2008-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "23758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "ANDERSON",
            "middle_name": "KIM",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tyler Russell Johansen, DMD, MS
• James J Jones, LCDC
• Matthew Michael Justus, DO, MPH&TM
• Sandy Kaliko Kai, R.N.
• Arthur C. Kalfus, D.D.S.
• Karen Lee Kanaka'Ole, LPN
• Sharolyn Maliana Kaui, RN, ATC, PTA
• James Kellogg, DDS
• Randi Keough
• Gerald Neil Kerr, D.D.S.

• Registered Nurse in Pearl Harbor, HI
• Providers in Pearl Harbor, HI by specialty
• Registered Nurse in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.