Provider Demographics
NPI:1215680327
Name:KEPA, MAHEALANI (MSW, HA, CHW)
Entity type:Individual
Prefix:
First Name:MAHEALANI
Middle Name:
Last Name:KEPA
Suffix:
Gender:F
Credentials:MSW, HA, CHW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41-511 HUMUNIKI ST
Mailing Address - Street 2:
Mailing Address - City:WAIMANALO
Mailing Address - State:HI
Mailing Address - Zip Code:96795-1317
Mailing Address - Country:US
Mailing Address - Phone:808-376-5269
Mailing Address - Fax:
Practice Address - Street 1:41-511 HUMUNIKI ST
Practice Address - Street 2:
Practice Address - City:WAIMANALO
Practice Address - State:HI
Practice Address - Zip Code:96795-1317
Practice Address - Country:US
Practice Address - Phone:808-376-5269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-28
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical