Healthcare Provider Details

I. General information

NPI: 1114589900
Provider Name (Legal Business Name): KANA MAEJI CARTER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KANA MAEJI DO

II. Dates (important events)

Enumeration Date: 07/02/2019
Last Update Date: 04/30/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98-1005 MOANGLUA ROAD SUITE 3030
AIEA HI
96701
US

IV. Provider business mailing address

98-1005 MOANGLUA ROAD SUITE 3030
AIEA HI
96701
US

V. Phone/Fax

Practice location:
  • Phone: 808-627-3200
  • Fax: 808-623-7872
Mailing address:
  • Phone: 808-627-3200
  • Fax: 808-623-7872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDOSR-492
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDOS-2400
License Number StateHI
# 3
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberDOS-2400
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: