Provider Demographics
NPI:1447591979
Name:KERR, JONAH KAWIKA
Entity Type:Individual
Prefix:MR
First Name:JONAH
Middle Name:KAWIKA
Last Name:KERR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3-3204 KUHIO HWY STE 104
Mailing Address - Street 2:
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766-1135
Mailing Address - Country:US
Mailing Address - Phone:808-274-3883
Mailing Address - Fax:
Practice Address - Street 1:3-3204 KUHIO HWY STE 104
Practice Address - Street 2:
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-1135
Practice Address - Country:US
Practice Address - Phone:808-274-3883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-07
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker