Healthcare Provider Details

I. General information

NPI: 1396730594
Provider Name (Legal Business Name): KATHLEEN LUANA DURANTE MONIZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KATHLEEN LUANA DURANTE MD

II. Dates (important events)

Enumeration Date: 09/13/2005
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

291 KAKAHIAKA ST
KAILUA HI
96734-3461
US

IV. Provider business mailing address

291 KAKAHIAKA ST
KAILUA HI
96734-3461
US

V. Phone/Fax

Practice location:
  • Phone: 808-226-4116
  • Fax: 808-262-4444
Mailing address:
  • Phone: 808-226-4116
  • Fax: 808-262-4444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number5228
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number18097
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: