Provider Demographics
NPI:1699216556
Name:KEKIPI, MADELINE (MHC, NCC)
Entity Type:Individual
Prefix:
First Name:MADELINE
Middle Name:
Last Name:KEKIPI
Suffix:
Gender:F
Credentials:MHC, NCC
Other - Prefix:
Other - First Name:MADELINE
Other - Middle Name:LOLANI
Other - Last Name:KEKIPI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MHC, NCC
Mailing Address - Street 1:PO BOX 151
Mailing Address - Street 2:
Mailing Address - City:WAIANAE
Mailing Address - State:HI
Mailing Address - Zip Code:96792-0151
Mailing Address - Country:US
Mailing Address - Phone:808-306-6333
Mailing Address - Fax:808-696-1179
Practice Address - Street 1:86-088 FARRINGTON HWY STE C107
Practice Address - Street 2:
Practice Address - City:WAIANAE
Practice Address - State:HI
Practice Address - Zip Code:96792-3067
Practice Address - Country:US
Practice Address - Phone:808-306-6333
Practice Address - Fax:808-696-1179
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-12
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMHC 229101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health