Healthcare Provider Details

I. General information

NPI: 1760314090
Provider Name (Legal Business Name): KADENA MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIT 5268
APO AP
96368
US

IV. Provider business mailing address

UNIT 5268
APO AP
96368
US

V. Phone/Fax

Practice location:
  • Phone: 98-630-4817
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code286500000X
TaxonomyMilitary Hospital
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM MICHAEL CONDON
Title or Position: DHA UBO
Credential:
Phone: 240-401-3643