Provider Demographics
NPI:1730387804
Name:KALE, TIMOTHY E (OD)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:E
Last Name:KALE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79-7407 MAMALAHOA HWY
Mailing Address - Street 2:SUITE E-F
Mailing Address - City:KEALAKEKUA
Mailing Address - State:HI
Mailing Address - Zip Code:96750-7931
Mailing Address - Country:US
Mailing Address - Phone:808-322-6100
Mailing Address - Fax:808-322-6117
Practice Address - Street 1:79-7407 MAMALAHOA HWY
Practice Address - Street 2:SUITE E-F
Practice Address - City:KEALAKEKUA
Practice Address - State:HI
Practice Address - Zip Code:96750-7931
Practice Address - Country:US
Practice Address - Phone:808-322-6100
Practice Address - Fax:808-322-6117
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2013-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIHI291152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist