Provider Demographics
NPI:1346021706
Name:DUCHENEAU, KATHRYN SARAH
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:SARAH
Last Name:DUCHENEAU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:SARAH
Other - Last Name:MURPHY-MCNAMARA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 644
Mailing Address - Street 2:
Mailing Address - City:KIHEI
Mailing Address - State:HI
Mailing Address - Zip Code:96753-0644
Mailing Address - Country:US
Mailing Address - Phone:321-216-7599
Mailing Address - Fax:
Practice Address - Street 1:311 UALA PL
Practice Address - Street 2:
Practice Address - City:KIHEI
Practice Address - State:HI
Practice Address - Zip Code:96753-7600
Practice Address - Country:US
Practice Address - Phone:321-216-7599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator