Healthcare Provider Details

I. General information

NPI: 1851203673
Provider Name (Legal Business Name): HAWAII GOOD FOOD ALLIANCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 ULUNIU ST STE 311
KAILUA HI
96734-2544
US

IV. Provider business mailing address

407 ULUNIU ST STE 311
KAILUA HI
96734-2544
US

V. Phone/Fax

Practice location:
  • Phone: 831-359-6862
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: LUCAS MCKINNON
Title or Position: MANAGING DIRECTOR
Credential: MPH
Phone: 831-359-6862