Provider Demographics
NPI:1477064798
Name:KAHOLOKULA, PATTY ANN (MSW)
Entity Type:Individual
Prefix:MS
First Name:PATTY
Middle Name:ANN
Last Name:KAHOLOKULA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67-1185 MAMALAHOA HWY UNIT D104
Mailing Address - Street 2:
Mailing Address - City:KAMUELA
Mailing Address - State:HI
Mailing Address - Zip Code:96743-8412
Mailing Address - Country:US
Mailing Address - Phone:808-286-4251
Mailing Address - Fax:
Practice Address - Street 1:65-1279 KAWAIHAE RD, # 210
Practice Address - Street 2:
Practice Address - City:KAMUELA
Practice Address - State:HI
Practice Address - Zip Code:96743
Practice Address - Country:US
Practice Address - Phone:808-286-4251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-12
Last Update Date:2017-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst