Healthcare Provider Details

I. General information

NPI: 1457285090
Provider Name (Legal Business Name): KIM HOKULANI MCCUMSEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98-030 HEKAHA ST
AIEA HI
96701-4916
US

IV. Provider business mailing address

PO BOX 235553
HONOLULU HI
96823-3509
US

V. Phone/Fax

Practice location:
  • Phone: 808-216-5846
  • Fax: 808-216-5846
Mailing address:
  • Phone: 808-216-5846
  • Fax: 808-216-5846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-5297
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: