Provider Demographics
NPI:1831398973
Name:RANKEN, INC.
Entity type:Organization
Organization Name:RANKEN, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:RANKEN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, JD
Authorized Official - Phone:808-268-3730
Mailing Address - Street 1:PO BOX 336
Mailing Address - Street 2:
Mailing Address - City:KIHEI
Mailing Address - State:HI
Mailing Address - Zip Code:96753-0336
Mailing Address - Country:US
Mailing Address - Phone:808-268-3730
Mailing Address - Fax:877-350-2232
Practice Address - Street 1:1325 S KIHEI RD STE 231
Practice Address - Street 2:
Practice Address - City:KIHEI
Practice Address - State:HI
Practice Address - Zip Code:96753-8180
Practice Address - Country:US
Practice Address - Phone:808-268-3730
Practice Address - Fax:877-350-2232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI923103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI101263Medicare PIN