Provider Demographics
NPI:1891364626
Name:KATO, KEKOA NIAU
Entity Type:Individual
Prefix:
First Name:KEKOA
Middle Name:NIAU
Last Name:KATO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:243 ANAPALAU ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-2244
Mailing Address - Country:US
Mailing Address - Phone:808-728-9910
Mailing Address - Fax:
Practice Address - Street 1:243 ANAPALAU ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96825-2244
Practice Address - Country:US
Practice Address - Phone:808-728-9910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-24
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician