Most Relevant Information
Provider Data
| NPI Number: | 1003460148 |
| Provider Name: | KAYLA GRAHAM |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/26/2019 |
| Last Updated: | 07/26/2019 |
Provider Practice Location
155 S WAKEA AVE
KAHULUI
HI
967321343
Practice Location Phone/Fax
| Phone: | 8082492065 |
| Fax: |
Provider Mailing Location
710 GREEN ST
HONOLULU
HI
968132119
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |