Provider Demographics
NPI:1841823804
Name:HAMANO-MONMA, KELSEY (APRN-RX)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:
Last Name:HAMANO-MONMA
Suffix:
Gender:F
Credentials:APRN-RX
Other - Prefix:
Other - First Name:KELSEY
Other - Middle Name:
Other - Last Name:HAMANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1907 S BERETANIA ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-1301
Mailing Address - Country:US
Mailing Address - Phone:808-983-2010
Mailing Address - Fax:808-973-3016
Practice Address - Street 1:1907 S BERETANIA ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-1301
Practice Address - Country:US
Practice Address - Phone:808-983-2010
Practice Address - Fax:808-973-3016
Is Sole Proprietor?:No
Enumeration Date:2020-02-19
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-2865363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner