Provider Demographics
NPI:1689489346
Name:SHIRAI, KEANI KEIKO KAMALANI (ND)
Entity type:Individual
Prefix:DR
First Name:KEANI
Middle Name:KEIKO KAMALANI
Last Name:SHIRAI
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1319 MAKANI ST
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-3495
Mailing Address - Country:US
Mailing Address - Phone:808-640-2222
Mailing Address - Fax:
Practice Address - Street 1:1319 MAKANI ST
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-3495
Practice Address - Country:US
Practice Address - Phone:808-640-2222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIND-362-0175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath