1437462868 NPI number — KAHAI SERVICES LLC

Table of content: (NPI 1437462868)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437462868 NPI number — KAHAI SERVICES LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KAHAI SERVICES LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437462868
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/14/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 240365
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HONOLULU
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96824-0365
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-277-6861
Provider Business Mailing Address Fax Number:
808-395-5546

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
634 AINAPO ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96825-1042
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-277-6861
Provider Business Practice Location Address Fax Number:
808-395-5546
Provider Enumeration Date:
07/14/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
CRABBE
Authorized Official First Name:
DOUGLAS
Authorized Official Middle Name:
KEONI
Authorized Official Title or Position:
SPEECH LANGUAGE PATHOLOGIST
Authorized Official Telephone Number:
808-277-6861

Provider Taxonomy Codes

  • Taxonomy code: 252Y00000X , with the licence number:  SLP 424 , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 253Z00000X , with the licence number: SLP 424 , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)