Provider Demographics
NPI:1629567490
Name:RANOLA, KATHLEEN SEALANA (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:SEALANA
Last Name:RANOLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98-1247 KAAHUMANU ST STE 315
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-5301
Mailing Address - Country:US
Mailing Address - Phone:808-686-4190
Mailing Address - Fax:808-686-2122
Practice Address - Street 1:98-1247 KAAHUMANU ST STE 315
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-5301
Practice Address - Country:US
Practice Address - Phone:808-686-4190
Practice Address - Fax:808-686-2122
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-07
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA174363207Q00000X
HIMD-22008207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty