=====================================================
General NPI Number Information
=====================================================
NPI Number | 1851194633
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SUMMER KESTER
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/28/2025
-----------------------------------------------------
Last Update Date | 03/28/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 56-1089 KAMEHAMEHA HIGHWAY SUITE 206
-----------------------------------------------------
City | KAHUKU
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96731
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-347-1246
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 147
-----------------------------------------------------
City | HAUULA
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96717-0147
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-542-2179
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------