Provider Demographics
NPI:1184174724
Name:LINDSEY, KAIPO KAIULU HAA (PA-C)
Entity type:Individual
Prefix:MR
First Name:KAIPO
Middle Name:KAIULU HAA
Last Name:LINDSEY
Suffix:
Gender:M
Credentials:PA-C
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Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:46-001 KAMEHAMEHA HWY STE 109
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-3724
Mailing Address - Country:US
Mailing Address - Phone:808-247-7596
Mailing Address - Fax:
Practice Address - Street 1:46-001 KAMEHAMEHA HWY STE 109
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-3724
Practice Address - Country:US
Practice Address - Phone:808-247-7596
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIAMD-717363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant