Healthcare Provider Details

I. General information

NPI: 1548140312
Provider Name (Legal Business Name): NATASHA KOBAYASHI PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2025
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

78-6831 ALII DR STE 422
KAILUA KONA HI
96740-5402
US

IV. Provider business mailing address

75-435 HOENE ST
KAILUA KONA HI
96740-1961
US

V. Phone/Fax

Practice location:
  • Phone: 808-747-8321
  • Fax:
Mailing address:
  • Phone: 808-896-5897
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: