Provider Demographics
NPI:1649494212
Name:KASSEL, JOSEPH (ND,LAC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:KASSEL
Suffix:
Gender:M
Credentials:ND,LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:POB 400
Mailing Address - Street 2:
Mailing Address - City:HOLUALOA
Mailing Address - State:HI
Mailing Address - Zip Code:96725
Mailing Address - Country:US
Mailing Address - Phone:808-327-1045
Mailing Address - Fax:
Practice Address - Street 1:74-4927B MAMALAHOA HIGHWAY
Practice Address - Street 2:
Practice Address - City:HOLUALOA
Practice Address - State:HI
Practice Address - Zip Code:96725-0400
Practice Address - Country:US
Practice Address - Phone:808-329-6442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIACU-593171100000X
HIND-140175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered171100000XOther Service ProvidersAcupuncturist
Not Answered175F00000XOther Service ProvidersNaturopath