Provider Demographics
NPI:1003256439
Name:KHF ENTERPRISES
Entity Type:Organization
Organization Name:KHF ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:H
Authorized Official - Last Name:FIELDS
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:808-250-9925
Mailing Address - Street 1:2490 W VINEYARD ST
Mailing Address - Street 2:
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-5606
Mailing Address - Country:US
Mailing Address - Phone:808-250-9925
Mailing Address - Fax:
Practice Address - Street 1:70 CENTRAL AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-1701
Practice Address - Country:US
Practice Address - Phone:808-250-9925
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-29
Last Update Date:2013-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI22101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty