Healthcare Provider Details

I. General information

NPI: 1114574530
Provider Name (Legal Business Name): KAREN CALABRESE AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2019
Last Update Date: 12/16/2022
Certification Date: 12/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 PIIKOI ST STE 1111
HONOLULU HI
96814-3141
US

IV. Provider business mailing address

615 PIIKOI ST STE 1111
HONOLULU HI
96814-3141
US

V. Phone/Fax

Practice location:
  • Phone: 808-973-1551
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: