Provider Demographics
NPI:1467085803
Name:HALL, KATE ANAHOLA
Entity Type:Individual
Prefix:MRS
First Name:KATE
Middle Name:ANAHOLA
Last Name:HALL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98-1319 KULAWAI ST
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-3069
Mailing Address - Country:US
Mailing Address - Phone:808-426-0804
Mailing Address - Fax:
Practice Address - Street 1:98-1319 KULAWAI ST
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-3069
Practice Address - Country:US
Practice Address - Phone:808-426-0804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-13
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60903360390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program