Provider Demographics
NPI:1124027081
Name:KAU, DARLENE M (MA, CCC-A)
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:M
Last Name:KAU
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3610 PAHOA AVE
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-2329
Mailing Address - Country:US
Mailing Address - Phone:808-734-1856
Mailing Address - Fax:808-547-9321
Practice Address - Street 1:347 N KUAKINI ST
Practice Address - Street 2:HPM GROUND FLOOR
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-2306
Practice Address - Country:US
Practice Address - Phone:808-547-9319
Practice Address - Fax:808-547-9321
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-21
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAUD002231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI05358001Medicaid
HI0000VCBBTMedicare ID - Type UnspecifiedAUDIOLOGIST
HIR75223Medicare UPIN