Provider Demographics
NPI:1760717821
Name:KALUHIOKALANI, KEKOA KIMO (MED)
Entity Type:Individual
Prefix:MR
First Name:KEKOA
Middle Name:KIMO
Last Name:KALUHIOKALANI
Suffix:
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86-360 HALE ELUA ST
Mailing Address - Street 2:
Mailing Address - City:WAIANAE
Mailing Address - State:HI
Mailing Address - Zip Code:96792-2920
Mailing Address - Country:US
Mailing Address - Phone:808-620-9030
Mailing Address - Fax:808-620-9047
Practice Address - Street 1:86-360 HALE ELUA ST
Practice Address - Street 2:
Practice Address - City:WAIANAE
Practice Address - State:HI
Practice Address - Zip Code:96792-2920
Practice Address - Country:US
Practice Address - Phone:808-620-9030
Practice Address - Fax:808-620-9047
Is Sole Proprietor?:No
Enumeration Date:2009-10-07
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst