Provider Demographics
NPI:1013547348
Name:HEW, LINDSEY KANOE
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:KANOE
Last Name:HEW
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 1:55 KIOPAA PL
Mailing Address - Street 2:
Mailing Address - City:MAKAWAO
Mailing Address - State:HI
Mailing Address - Zip Code:96768-8282
Mailing Address - Country:US
Mailing Address - Phone:808-264-8339
Mailing Address - Fax:
Practice Address - Street 1:55 KIOPAA PL
Practice Address - Street 2:
Practice Address - City:MAKAWAO
Practice Address - State:HI
Practice Address - Zip Code:96768-8282
Practice Address - Country:US
Practice Address - Phone:808-573-9304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-26
Last Update Date:2020-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH-4430183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist