Provider Demographics
NPI:1790062883
Name:KAU, ESTELLA M
Entity Type:Individual
Prefix:MS
First Name:ESTELLA
Middle Name:M
Last Name:KAU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78-7252A KUAKINI HWY
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-9735
Mailing Address - Country:US
Mailing Address - Phone:808-443-6735
Mailing Address - Fax:
Practice Address - Street 1:78-7252A KUAKINI HWY
Practice Address - Street 2:
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-9735
Practice Address - Country:US
Practice Address - Phone:808-443-6735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-03
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor