Healthcare Provider Details

I. General information

NPI: 1437739703
Provider Name (Legal Business Name): GRANT S KEEFER MPAS, PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2021
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3350 LOWER HONOAPIILANI RD STE 211
LAHAINA HI
96761-8404
US

IV. Provider business mailing address

3350 LOWER HONOAPIILANI RD STE 211
LAHAINA HI
96761-8404
US

V. Phone/Fax

Practice location:
  • Phone: 808-667-7676
  • Fax:
Mailing address:
  • Phone: 817-916-5199
  • 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: