Provider Demographics
NPI:1861843989
Name:DAOTAY, KATHY TRAM (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:TRAM
Last Name:DAOTAY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1585 KAPIOLANI BLVD STE 1500
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-4526
Mailing Address - Country:US
Mailing Address - Phone:808-531-6886
Mailing Address - Fax:
Practice Address - Street 1:1585 KAPIOLANI BLVD STE 1500
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4526
Practice Address - Country:US
Practice Address - Phone:808-531-6886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-30
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60676448363LF0000X
HIAPRN-3292363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily