Provider Demographics
NPI:1538315858
Name:KAMAI-KEKELA, RHONDA
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:
Last Name:KAMAI-KEKELA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:
Other - Last Name:KAMAI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:38 EAST 100 NORTH SUITE B
Mailing Address - Street 2:
Mailing Address - City:VERNAL
Mailing Address - State:UT
Mailing Address - Zip Code:84078-2122
Mailing Address - Country:US
Mailing Address - Phone:435-219-0576
Mailing Address - Fax:435-604-7356
Practice Address - Street 1:38 E 100 N STE B
Practice Address - Street 2:
Practice Address - City:VERNAL
Practice Address - State:UT
Practice Address - Zip Code:84078-2122
Practice Address - Country:US
Practice Address - Phone:435-219-0576
Practice Address - Fax:435-604-7356
Is Sole Proprietor?:No
Enumeration Date:2008-08-18
Last Update Date:2018-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7140338-35011041C0700X
HI1486104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical