Healthcare Provider Details

I. General information

NPI: 1598633471
Provider Name (Legal Business Name): CHASTITY KUTEI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2025
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42-477 KALANIANAOLE HWY
KAILUA HI
96734-4302
US

IV. Provider business mailing address

85-832 PILIUKA PL
WAIANAE HI
96792-2541
US

V. Phone/Fax

Practice location:
  • Phone: 808-266-9695
  • Fax: 808-266-9611
Mailing address:
  • Phone: 808-457-5726
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number65654-RN
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: