Healthcare Provider Details

I. General information

NPI: 1932108164
Provider Name (Legal Business Name): KATHLEEN HAUNANI CAMPBELL AUD.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 08/01/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1451 S KING ST SUITE 203
HONOLULU HI
96814-2513
US

IV. Provider business mailing address

1451 S KING ST SUITE 203
HONOLULU HI
96814-2513
US

V. Phone/Fax

Practice location:
  • Phone: 808-951-4327
  • Fax: 808-951-4328
Mailing address:
  • Phone: 808-951-4327
  • Fax: 808-951-4328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number33
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License Number121
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: