Provider Demographics
NPI:1093463085
Name:KEITH, MARTHA (ND)
Entity Type:Individual
Prefix:DR
First Name:MARTHA
Middle Name:
Last Name:KEITH
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:524 KEAWE ST STE 513
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-3101
Mailing Address - Country:US
Mailing Address - Phone:808-210-4382
Mailing Address - Fax:808-481-0935
Practice Address - Street 1:401 KAMAKEE ST STE 202
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4243
Practice Address - Country:US
Practice Address - Phone:808-210-4382
Practice Address - Fax:808-481-0935
Is Sole Proprietor?:No
Enumeration Date:2022-03-17
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIND-342175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath