1083880199 NPI number — MRS. CHARLENE DAWN KURIHARA AKANA BS, MA, ATC

Table of content: MRS. CHARLENE DAWN KURIHARA AKANA BS, MA, ATC (NPI 1083880199)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083880199 NPI number — MRS. CHARLENE DAWN KURIHARA AKANA BS, MA, ATC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AKANA
Provider First Name:
CHARLENE
Provider Middle Name:
DAWN KURIHARA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
BS, MA, ATC
Provider Gender Code:
F

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:
1083880199
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/08/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
55-220 KULANUI STREET
Provider Second Line Business Mailing Address:
BYUH #1968
Provider Business Mailing Address City Name:
LAIE
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96762
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-675-3765
Provider Business Mailing Address Fax Number:
808-675-3763

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
55-220 KULANUI STREET
Provider Second Line Business Practice Location Address:
BYUH #1937 ATTN DAWN AKANA
Provider Business Practice Location Address City Name:
LAIE
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96762
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-675-3765
Provider Business Practice Location Address Fax Number:
808-675-3763
Provider Enumeration Date:
05/08/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2255A2300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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