Provider Demographics
NPI:1609641422
Name:KAAIHILI, KAISAH KALEIKAUMAKA
Entity Type:Individual
Prefix:
First Name:KAISAH
Middle Name:KALEIKAUMAKA
Last Name:KAAIHILI
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 1:237 KALAMA ST
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2042
Mailing Address - Country:US
Mailing Address - Phone:808-381-3471
Mailing Address - Fax:
Practice Address - Street 1:237 KALAMA ST
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2042
Practice Address - Country:US
Practice Address - Phone:808-381-3471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-21
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician