Healthcare Provider Details

I. General information

NPI: 1447105366
Provider Name (Legal Business Name): KULA NO NA PO'E HAWAII
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2026
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 TANTALUS DR
HONOLULU HI
96813-1412
US

IV. Provider business mailing address

PO BOX 23268
HONOLULU HI
96823-3268
US

V. Phone/Fax

Practice location:
  • Phone: 808-649-3725
  • Fax:
Mailing address:
  • Phone: 808-649-3725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. ADRIENNE DILLARD
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: PHD, LCSW
Phone: 808-649-3725