Provider Demographics
NPI:1033684576
Name:NISHIMURA, KAMI SUZU (RDN)
Entity Type:Individual
Prefix:MS
First Name:KAMI
Middle Name:SUZU
Last Name:NISHIMURA
Suffix:
Gender:F
Credentials:RDN
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Other - Credentials:
Mailing Address - Street 1:888 SOUTH KING STREET
Mailing Address - Street 2:SUITE 940 HEALTH MANAGEMENT, FIRST INSURANCE CENTER,
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813
Mailing Address - Country:US
Mailing Address - Phone:808-522-4325
Mailing Address - Fax:808-522-2484
Practice Address - Street 1:888 SOUTH KING STREET
Practice Address - Street 2:SUITE 940 HEALTH MANAGEMENT, FIRST INSURANCE CENTER,
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813
Practice Address - Country:US
Practice Address - Phone:808-522-4325
Practice Address - Fax:808-522-2484
Is Sole Proprietor?:No
Enumeration Date:2018-10-11
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered