Provider Demographics
NPI:1366117087
Name:HASHEMI, KAI MEGAN (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:KAI
Middle Name:MEGAN
Last Name:HASHEMI
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 388
Mailing Address - Street 2:
Mailing Address - City:HONOMU
Mailing Address - State:HI
Mailing Address - Zip Code:96728-0388
Mailing Address - Country:US
Mailing Address - Phone:818-437-6464
Mailing Address - Fax:
Practice Address - Street 1:32-890 HANAMALO LANE
Practice Address - Street 2:
Practice Address - City:HONOMU
Practice Address - State:HI
Practice Address - Zip Code:96728-0388
Practice Address - Country:US
Practice Address - Phone:818-437-6464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-13
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRN-100013163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WS0200XNursing Service ProvidersRegistered NurseSchoolGroup - Multi-Specialty