MEDICARE: KAPUAHELELAONALANI SAWYER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MFT - 489	HI

General Provider Information

NPI Number	:	1386892099
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAPUAHELELAONALANI SAWYER

Provider Business Mailing Address
First Line	:	495 HAIHAI ST
Second Line	:
City	:	HILO
State	:	HI
Zip	:	96720-5509
Country	:	US
Telephone Number	:	808-981-5209
Fax Number	:

Provider Business Practice Location Address
First Line	:	1045 KILAUEA AVE
Second Line	:	#A
City	:	HILO
State	:	HI
Zip	:	96720-4291
Country	:	US
Telephone Number	:	808-935-2188
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2008
Last Update Date	:	09/15/2016

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