Provider Demographics
NPI:1588544621
Name:WASHINGTON-KAY, DIANNE MARIE
Entity type:Individual
Prefix:
First Name:DIANNE
Middle Name:MARIE
Last Name:WASHINGTON-KAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 S KING ST STE 217
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1703
Mailing Address - Country:US
Mailing Address - Phone:808-593-7717
Mailing Address - Fax:
Practice Address - Street 1:1010 S KING ST STE 217
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1703
Practice Address - Country:US
Practice Address - Phone:808-593-7717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI13358225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty