Provider Demographics
NPI:1689431769
Name:KAHOONEI, CHELSEY (RDH)
Entity Type:Individual
Prefix:
First Name:CHELSEY
Middle Name:
Last Name:KAHOONEI
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41-211 KANEHUNAMOKU PL
Mailing Address - Street 2:
Mailing Address - City:WAIMANALO
Mailing Address - State:HI
Mailing Address - Zip Code:96795-1784
Mailing Address - Country:US
Mailing Address - Phone:808-383-4285
Mailing Address - Fax:
Practice Address - Street 1:45-600 KAMEHAMEHA HWY
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-2065
Practice Address - Country:US
Practice Address - Phone:808-235-8442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDH-2308124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist