Healthcare Provider Details

I. General information

NPI: 1619898293
Provider Name (Legal Business Name): KAI CHASE DNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 KAWAIHAU RD STE D
KAPAA HI
96746-1964
US

IV. Provider business mailing address

4491 RICE ST STE 106
LIHUE HI
96766-1805
US

V. Phone/Fax

Practice location:
  • Phone: 808-240-0170
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number6067
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: