NPI 1407189756 · live from the CMS NPI Registry
Kelly K Coleman, Psy.D., ABPP, RD
Psychologist, Clinical in Honolulu, HI. National Provider Identifier 1407189756, active.
NPI record
| NPI | 1407189756 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 2113 Mckinley St, Honolulu, HI 96822 |
| Practice phone | 808-286-2659 |
| Enumerated | September 17, 2009 |
| Last updated | February 23, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered | 133V00000X | 60056916 (WA) |
| Psychologist, Clinical | 103TC0700X | PSY-1225 (HI) |
| Psychologist, Clinical primary | 103TC0700X | PY 60130390 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.