Healthcare Provider Details

I. General information

NPI: 1609103845
Provider Name (Legal Business Name): ZACHARY PAUL ALLEN ND
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/09/2009
Last Update Date: 02/21/2024
Certification Date: 02/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3093 AKAHI ST
LIHUE HI
96766-1104
US

IV. Provider business mailing address

3093 AKAHI ST STE 5
LIHUE HI
96766-1104
US

V. Phone/Fax

Practice location:
  • Phone: 808-245-2277
  • Fax: 808-245-9454
Mailing address:
  • Phone: 808-245-2277
  • Fax: 808-245-9454

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND231
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: