Provider Demographics
NPI:1619557741
Name:AKANA, LAYNE S JR
Entity Type:Individual
Prefix:
First Name:LAYNE
Middle Name:S
Last Name:AKANA
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98-457 HOOMAILANI ST
Mailing Address - Street 2:
Mailing Address - City:PEARL CITY
Mailing Address - State:HI
Mailing Address - Zip Code:96782-2335
Mailing Address - Country:US
Mailing Address - Phone:808-561-2928
Mailing Address - Fax:808-456-6676
Practice Address - Street 1:98-457 HOOMAILANI ST
Practice Address - Street 2:
Practice Address - City:PEARL CITY
Practice Address - State:HI
Practice Address - Zip Code:96782-2335
Practice Address - Country:US
Practice Address - Phone:808-561-2928
Practice Address - Fax:808-456-6676
Is Sole Proprietor?:No
Enumeration Date:2021-04-12
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIH01259650OtherPPO