Provider Demographics
NPI:1619665502
Name:ANDREWS, KATHY MAE (EDD, CRC, NBC-HWC)
Entity Type:Individual
Prefix:DR
First Name:KATHY
Middle Name:MAE
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:EDD, CRC, NBC-HWC
Other - Prefix:
Other - First Name:KAT
Other - Middle Name:
Other - Last Name:ANDREWS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:EDD, CRC, NBCHWC
Mailing Address - Street 1:1110 NUUANU AVE # A1-5045
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-5119
Mailing Address - Country:US
Mailing Address - Phone:808-989-1050
Mailing Address - Fax:
Practice Address - Street 1:2637 KUILEI ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-3259
Practice Address - Country:US
Practice Address - Phone:808-989-1050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-27
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
105791225C00000X
A-3687623171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor