Provider Demographics
NPI:1447673736
Name:KAMI, IAN KAINOA
Entity type:Individual
Prefix:MR
First Name:IAN
Middle Name:KAINOA
Last Name:KAMI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1045 KILAUEA AVE STE A
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-4291
Mailing Address - Country:US
Mailing Address - Phone:808-935-2188
Mailing Address - Fax:808-961-2073
Practice Address - Street 1:1045 KILAUEA AVE STE A
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-4291
Practice Address - Country:US
Practice Address - Phone:808-935-2188
Practice Address - Fax:808-961-2073
Is Sole Proprietor?:No
Enumeration Date:2014-01-23
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health