NPI Code Details Logo

NPI 1417895152

NPI 1417895152 : KAT ANESTHESIA PLLC : KAPOLEI, HI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1417895152
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    KAT ANESTHESIA PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/24/2026
-----------------------------------------------------
    Last Update Date     |    03/24/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    590 FARRINGTON HWY UNIT 170 
-----------------------------------------------------
    City                 |    KAPOLEI
-----------------------------------------------------
    State                |    HI
-----------------------------------------------------
    Zip                  |    96707-2011
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    808-762-2311
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    7722 VILLA ANDRADE AVE 
-----------------------------------------------------
    City                 |    LAS VEGAS
-----------------------------------------------------
    State                |    NV
-----------------------------------------------------
    Zip                  |    89131-1686
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CRNA
-----------------------------------------------------
    Name                 |     KEVIN  TINIO 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    702-237-1096
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    367500000X
-----------------------------------------------------
    Taxonomy Name        |    Certified Registered Nurse Anesthetist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.