Provider Demographics
NPI:1053945790
Name:KE KAI HEALTH LLC
Entity type:Organization
Organization Name:KE KAI HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:YU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-305-0163
Mailing Address - Street 1:2499 KAPIOLANI BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-5310
Mailing Address - Country:US
Mailing Address - Phone:650-305-0163
Mailing Address - Fax:
Practice Address - Street 1:2499 KAPIOLANI BLVD STE 104
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-5310
Practice Address - Country:US
Practice Address - Phone:650-305-0163
Practice Address - Fax:833-809-8846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-02
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0000397885OtherHMSA