Provider Demographics
NPI:1467084210
Name:KOKI, KEIKO W (RN)
Entity Type:Individual
Prefix:
First Name:KEIKO
Middle Name:W
Last Name:KOKI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45-219 NAKULUAI STREET
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-2218
Mailing Address - Country:US
Mailing Address - Phone:808-554-3301
Mailing Address - Fax:
Practice Address - Street 1:45-219 NAKULUAI STREET
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-2218
Practice Address - Country:US
Practice Address - Phone:808-554-3301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-10
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI63087163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse