Healthcare Provider Details

I. General information

NPI: 1811588817
Provider Name (Legal Business Name): SEAN KAKIGI AU.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2021
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98-1079 MOANALUA RD STE 650
AIEA HI
96701-4721
US

IV. Provider business mailing address

98-1079 MOANALUA RD STE 650
AIEA HI
96701-4721
US

V. Phone/Fax

Practice location:
  • Phone: 808-486-3277
  • Fax:
Mailing address:
  • Phone: 808-486-3277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAUD-211
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: