Provider Demographics
NPI:1316713464
Name:MALIK, KAYO (LAC, DIPL OM)
Entity type:Individual
Prefix:
First Name:KAYO
Middle Name:
Last Name:MALIK
Suffix:
Gender:F
Credentials:LAC, DIPL OM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4955 HANAWAI ST APT 6-201
Mailing Address - Street 2:
Mailing Address - City:LAHAINA
Mailing Address - State:HI
Mailing Address - Zip Code:96761-8819
Mailing Address - Country:US
Mailing Address - Phone:808-264-4162
Mailing Address - Fax:
Practice Address - Street 1:3636 LOWER HONOAPIILANI RD STE 3
Practice Address - Street 2:
Practice Address - City:LAHAINA
Practice Address - State:HI
Practice Address - Zip Code:96761-5916
Practice Address - Country:US
Practice Address - Phone:808-669-4500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-29
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIACU-1082171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist